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Connecticut rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $7,360.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.50 / $1,456.79 / $3,701.68
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
$1,243.14 / $2,736.57 / $3,819.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.48 / $2,554.73 / $3,665.31
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
$1,200.13 / $2,081.04 / $2,654.39
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
$1,267.31 / $2,376.21 / $4,052.31