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Connecticut rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.94 / $4,305.00 / $8,031.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,070.00 / $7,714.00 / $11,908.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $2,296.86 / $2,296.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,363.21 / $6,595.00 / $6,730.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00