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Connecticut rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.32 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.34 / $760.06 / $1,626.07
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
$546.90 / $1,139.81 / $1,590.94
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
$686.00 / $1,100.91 / $1,726.69
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
$609.48 / $857.38 / $1,260.80
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
$579.71 / $1,233.42 / $2,095.61