go back

Connecticut rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.94 / $6,508.00 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $458.11 / $963.35
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
$340.91 / $587.35 / $842.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $1,801.18 / $1,801.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.13 / $685.61 / $1,198.93
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.67 / $2,935.00 / $2,995.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.39 / $703.10 / $880.55
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
$436.57 / $931.34 / $1,521.00