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Connecticut rates for HCPCS A4928

Surgical mask, per 20

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00