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Connecticut rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,305.00 / $7,629.00 / $10,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $6,184.00 / $11,816.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.84 / $9,758.54 / $14,754.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,438.05 / $10,420.07 / $13,064.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $16,050.00 / $16,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,860.43 / $7,624.65 / $14,518.02
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
$5,623.51 / $7,511.28 / $10,117.68
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
$4,423.74 / $7,785.81 / $18,342.93