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Connecticut rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.00 / $6,343.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.88 / $2,360.32 / $4,087.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $4,945.58 / $10,318.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.69 / $3,684.39 / $4,573.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.15 / $2,649.23 / $5,193.57
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
$2,051.52 / $2,696.67 / $3,607.85
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
$1,571.66 / $2,754.65 / $6,559.77