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Connecticut rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,417.26 / $7,629.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.42 / $3,104.66 / $5,417.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,678.00 / $13,278.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.26 / $4,880.49 / $6,058.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.04 / $3,490.42 / $6,842.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.00 / $3,544.60 / $4,763.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $4,738.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.50 / $3,610.80 / $8,640.40