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Connecticut rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $6,653.00 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.80 / $764.37 / $1,839.33
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
$664.05 / $1,283.30 / $1,723.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $4,326.79 / $4,326.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.14 / $1,377.22 / $1,824.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.04 / $886.88 / $1,262.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,553.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.22 / $1,255.42 / $2,184.02