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Connecticut rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.57 / $3,309.00 / $6,607.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.55 / $109.26 / $373.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.44 / $119.94 / $185.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $163.87 / $254.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.58 / $166.57 / $174.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.05 / $440.05 / $440.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.57 / $178.18 / $260.01