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Connecticut rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.78 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.33 / $745.26 / $1,640.50
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
$572.17 / $1,106.68 / $1,715.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $3,820.70 / $3,820.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.40 / $1,139.04 / $1,681.38
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
$558.14 / $908.69 / $1,291.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.40 / $1,058.20 / $2,009.02