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Connecticut rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $190.76 / $413.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.16 / $301.58 / $301.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $182.18 / $246.72