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Connecticut rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.03 / $117.03 / $117.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.03 / $119.39 / $129.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.60 / $240.78 / $275.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.08 / $180.77 / $180.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $170.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.51 / $156.51 / $156.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.51 / $169.83 / $240.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.04 / $135.04 / $135.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $120.12 / $183.82