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Connecticut rates for HCPCS 15200

Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.89 / $5,491.19 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.84 / $855.92 / $1,654.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $4,735.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.24 / $928.91 / $1,185.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.30 / $1,032.21 / $1,730.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.51 / $1,010.01 / $1,055.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.38 / $477.38 / $477.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.76 / $1,030.86 / $1,788.11