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Connecticut rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.09 / $2,098.09 / $2,098.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.57 / $1,946.68 / $2,102.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,345.50 / $4,316.77 / $4,938.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.27 / $2,699.26 / $2,699.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,234.23
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,805.90 / $2,805.90 / $2,805.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.90 / $2,805.90 / $3,971.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,180.12 / $5,180.12 / $5,180.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.51 / $2,153.59 / $2,969.85