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Connecticut rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,615.26 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.99 / $2,615.26 / $3,595.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,927.44 / $14,057.22 / $19,128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.77 / $3,003.04 / $3,562.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.80 / $2,275.48 / $4,577.64
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.37 / $2,391.60 / $2,391.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $6,137.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.37 / $2,410.21 / $4,637.04