go back

Connecticut rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.66 / $5,244.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.67 / $459.23 / $1,112.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.12 / $531.09 / $819.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.89 / $671.24 / $974.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.35 / $518.04 / $671.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,189.30 / $6,189.30 / $6,189.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.02 / $701.02 / $701.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.45 / $629.96 / $1,114.76