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Connecticut rates for HCPCS A6025

Gel Sheet For Dermal Or Epidermal Application (E.G. Silicone Hydrogel Other) Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $15.87 / $15.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $13.88 / $15.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $26.78 / $26.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.81 / $16.82