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Connecticut rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $7,360.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.86 / $833.25 / $1,943.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $15,915.00 / $22,259.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.08 / $1,513.68 / $2,091.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.48 / $1,392.54 / $2,032.23
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,363.21 / $6,595.00 / $6,730.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.06 / $1,194.01 / $1,495.35
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
$681.09 / $1,277.04 / $2,206.64