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Connecticut rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.09 / $16.09 / $16.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $16.09 / $19.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $189.00 / $189.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00