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Connecticut rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.26 / $43.26 / $43.26
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,170.59 / $1,523.14 / $2,210.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$645.29 / $770.71 / $884.23
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$639.27 / $738.63 / $915.90
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,346.67 / $2,518.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.64 / $810.00 / $1,530.00