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Connecticut rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.86 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $277.82 / $578.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.57 / $7,824.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.12 / $301.82 / $803.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.97 / $326.43 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.93 / $274.35 / $813.73
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.16 / $809.30 / $1,060.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.46 / $524.22 / $651.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $555.02 / $1,285.05