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Connecticut rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $3,374.21 / $6,143.61
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
$821.12 / $1,873.59 / $3,612.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $10,564.39 / $10,564.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.41 / $3,155.42 / $9,537.52
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
$3,446.41 / $4,854.64 / $7,143.17
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
$3,082.96 / $6,577.55 / $12,076.90