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Connecticut rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.74 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.43 / $1,910.74 / $3,064.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.64 / $2,585.06 / $3,152.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.06 / $1,921.47 / $3,907.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.03 / $2,044.45 / $2,044.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.64 / $1,892.24 / $3,799.32