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Connecticut rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate 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
$660.48 / $771.98 / $1,872.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $16,131.00 / $19,160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.81 / $1,408.03 / $1,945.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $23,035.79 / $23,035.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.86 / $1,470.03 / $2,095.61
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
$649.04 / $1,109.33 / $1,531.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.39 / $1,355.20 / $2,206.27