go back

Connecticut rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.45 / $22.45 / $23.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $17.55 / $23.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.11 / $29.82 / $34.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $14.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $16.12
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $19.38 / $50.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $14.87 / $24.75