go back

Connecticut rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.34 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.46 / $895.05 / $2,223.81
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
$765.25 / $1,567.79 / $2,166.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $7,993.34 / $7,993.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.93 / $1,517.05 / $2,201.94
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
$724.29 / $1,205.78 / $1,510.08
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
$761.09 / $1,445.88 / $2,433.54