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Connecticut rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.90 / $5,491.19 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.17 / $951.36 / $1,734.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.84 / $990.56 / $1,284.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.61 / $1,128.60 / $1,862.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.87 / $1,071.60 / $1,119.45
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
$787.53 / $1,084.36 / $1,779.75