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Connecticut rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.76 / $4,305.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.33 / $127.06 / $299.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $5,786.00 / $7,714.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $198.88 / $282.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $148.13 / $300.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.56 / $151.60 / $333.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,978.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $196.00 / $560.47