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Connecticut rates for HCPCS 95875

Ischemic Limb Xers Tst Spec Acquisj Metab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.60 / $127.60 / $188.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.51 / $163.84 / $277.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.45 / $177.63 / $409.55
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.13 / $166.02 / $242.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.69 / $204.87 / $398.39