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Connecticut rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.52 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.80 / $2,857.24 / $4,981.81
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
$1,928.61 / $4,503.38 / $5,590.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.66 / $3,037.48 / $6,296.95
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
$2,436.71 / $3,263.50 / $4,382.70
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
$1,901.46 / $3,240.79 / $7,950.13