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Connecticut rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $4,136.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $62.19 / $145.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $70.31 / $106.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $87.74 / $159.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.69 / $86.69 / $90.56
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
$66.18 / $97.06 / $162.85