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Connecticut rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $2,075.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.22 / $1,930.31 / $2,075.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.96 / $4,270.91 / $4,886.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.78 / $2,199.78 / $2,308.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.09 / $2,776.09 / $2,776.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.09 / $2,883.19 / $4,270.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.05 / $2,130.71 / $2,780.96