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Connecticut rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.31 / $4,228.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.14 / $101.47 / $198.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $3,788.00 / $4,735.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $132.28 / $203.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.52 / $129.91 / $205.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.99 / $107.05 / $111.82
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
$87.15 / $115.24 / $197.59