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Connecticut rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.38 / $245.38 / $898.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.93 / $200.81 / $245.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.27 / $504.87 / $577.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.11 / $278.11 / $284.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $340.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $216.08 / $296.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.17 / $328.17 / $328.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.32 / $328.17 / $427.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.60 / $376.60 / $383.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.36 / $383.36 / $383.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.22 / $251.87 / $327.56