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Connecticut rates for HCPCS 22114

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.44 / $1,155.41 / $2,731.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $19,753.83 / $26,880.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.88 / $2,027.02 / $2,681.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.81 / $1,870.10 / $2,861.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.81 / $1,421.77 / $1,780.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.70 / $1,909.68 / $3,449.77