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Connecticut rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.89 / $5,491.19 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.65 / $972.79 / $1,890.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.48 / $992.48 / $1,292.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.73 / $1,130.20 / $1,893.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.13 / $1,120.15 / $1,170.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,120.00 / $5,950.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.04 / $1,050.83 / $1,895.70