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Connecticut rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

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
$1,370.03 / $1,671.56 / $4,109.84
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
$1,432.25 / $2,934.44 / $4,054.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $13,436.11 / $13,436.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.25 / $2,861.44 / $4,085.14
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
$1,377.54 / $2,334.13 / $2,923.21
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
$1,454.60 / $2,636.46 / $4,696.70