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Connecticut rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.83 / $71.83 / $71.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $66.65 / $71.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.55 / $147.81 / $169.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $101.55 / $101.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $98.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $71.65 / $98.15
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.08 / $96.08 / $96.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.08 / $96.08 / $135.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.32 / $85.32 / $85.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $73.73 / $112.55