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Connecticut rates for HCPCS 25492

Proph Tx N/P/Pltwr W/Wo Methylmecrylate Rad&Ul

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
$809.18 / $992.24 / $2,294.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $11,830.00 / $19,160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.49 / $1,711.65 / $2,364.98
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
$1,225.14 / $1,776.09 / $2,422.48
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
$792.26 / $1,340.33 / $1,757.89
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
$808.22 / $1,684.58 / $2,658.78