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Connecticut rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.07 / $4,722.42 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.78 / $926.21 / $1,860.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $4,735.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.58 / $1,209.58 / $2,062.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.50 / $1,154.57 / $1,834.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.22 / $1,064.97 / $1,112.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.06 / $1,067.08 / $1,752.19