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Connecticut rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.15 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.05 / $876.59 / $2,116.42
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
$754.79 / $1,595.80 / $2,204.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $10,158.16 / $10,158.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.40 / $1,520.82 / $2,142.37
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
$729.07 / $1,207.21 / $1,517.20
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
$754.42 / $1,414.55 / $2,482.48