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Connecticut rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.08 / $4,305.00 / $8,031.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,797.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.26 / $353.26 / $550.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,134.00 / $6,664.00