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Connecticut rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.43 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.63 / $889.44 / $1,734.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.23 / $1,260.48 / $1,691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $1,801.18 / $1,801.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.56 / $1,196.35 / $2,236.65
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
$811.62 / $1,004.17 / $1,257.59
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
$682.37 / $1,493.63 / $2,649.27