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Connecticut rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

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
$917.63 / $1,061.08 / $2,617.59
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
$901.48 / $1,886.70 / $2,606.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,993.34 / $7,993.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.62 / $1,818.73 / $2,591.87
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
$864.49 / $1,456.27 / $1,823.80
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
$902.21 / $1,759.31 / $3,201.99