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Connecticut rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $6,653.00 / $9,583.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.00 / $15,639.00 / $15,639.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,302.00 / $4,390.00 / $4,645.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00