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Connecticut rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $7,372.86 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,380.34 / $3,240.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,936.00 / $22,514.00 / $29,306.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.93 / $2,588.48 / $3,613.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.00 / $2,393.71 / $3,418.05
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.08 / $1,985.63 / $2,486.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.43 / $2,126.36 / $3,867.60