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Connecticut rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.14 / $7,687.65 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,153.58 / $2,517.25
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
$976.84 / $1,716.06 / $2,365.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $11,570.60 / $11,570.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.69 / $1,813.39 / $2,956.38
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
$1,039.33 / $1,629.67 / $2,067.62
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
$1,078.71 / $2,103.48 / $3,739.57