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Connecticut rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,995.70 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.13 / $2,159.55 / $4,831.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.79 / $3,744.88 / $4,989.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.13 / $3,434.32 / $5,334.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.17 / $2,569.16 / $3,217.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,553.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.30 / $3,491.81 / $6,373.35