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Connecticut rates for HCPCS 91110

Gi Trc Img Intraluminal Esophagus-Ileum W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.49 / $314.19 / $719.56
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$242.23 / $453.15 / $858.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.67 / $1,582.05 / $4,833.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.72 / $228.77 / $1,043.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$390.85 / $605.58 / $2,926.72
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$156.34 / $242.23 / $679.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$687.63 / $997.68 / $2,132.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.45 / $1,643.25 / $2,322.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.39 / $341.49 / $452.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$664.50 / $1,301.75 / $1,839.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.24 / $1,434.29 / $2,258.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.43 / $253.77 / $370.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$743.08 / $1,199.67 / $1,959.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.71 / $1,168.95 / $1,864.50
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.43 / $179.32 / $288.45
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$692.27 / $989.64 / $1,492.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.05 / $350.26 / $368.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.92 / $1,430.27 / $2,595.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.09 / $232.80 / $350.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$747.01 / $1,182.48 / $2,055.71