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Connecticut rates for HCPCS 12015

Simple Repair F/E/E/N/L/M 7.6cm-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.68 / $4,136.00 / $7,629.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00