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Connecticut rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.90 / $1,573.64 / $3,805.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $16,357.97 / $22,259.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.35 / $2,725.02 / $3,765.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.25 / $2,653.17 / $3,838.31
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
$1,306.14 / $2,201.78 / $2,757.46
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
$1,363.22 / $2,573.35 / $4,682.46