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Connecticut rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.90 / $2,324.90 / $2,324.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.04 / $2,161.94 / $2,324.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.15 / $4,783.42 / $5,472.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.96 / $2,478.96 / $2,585.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,600.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,109.22 / $3,109.22 / $3,109.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,109.22 / $3,229.17 / $4,570.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.17 / $2,386.40 / $3,114.68