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Connecticut rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.72 / $2,287.90 / $5,572.35
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
$1,959.98 / $4,263.97 / $5,951.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,930.15 / $4,000.48 / $5,576.60
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
$1,892.61 / $3,217.21 / $4,329.85
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
$1,984.49 / $3,720.92 / $6,446.33