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Connecticut rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.97 / $4,136.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.61 / $189.96 / $546.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $175.29 / $242.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.50 / $215.29 / $336.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.77 / $215.02 / $224.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.41 / $163.41 / $208.63
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
$140.58 / $210.86 / $340.81