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Connecticut rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.12 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.75 / $19.50