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Connecticut rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $158.26 / $339.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.98 / $168.62 / $312.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $103.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.07 / $101.19 / $112.32