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Connecticut rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

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
$1,446.03 / $1,757.07 / $4,284.96
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
$1,507.73 / $2,980.29 / $4,078.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,122.52 / $3,016.51 / $4,284.22
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
$1,458.02 / $2,395.85 / $3,000.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,308.99 / $5,308.99 / $5,308.99
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
$1,524.21 / $2,857.89 / $4,993.01