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Connecticut rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.00 / $7,687.65 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.16 / $813.43 / $1,706.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $10,956.00 / $15,501.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.04 / $1,207.52 / $1,668.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $1,801.18 / $1,801.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,242.83 / $1,901.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.46 / $1,122.15 / $1,438.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.18 / $1,305.34 / $2,356.28