Aggregated across all available billing methodologies for this code.Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.Reflects negotiated fee schedule rates with commercial payers.Reflects a negotiated per diem rate paid per day of care.Reflects a negotiated percentage of total billed charges.Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jan 1, 2026

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Connecticut Children's
CDM SUP-04.503.722

CDM SUP-04.503.722

MATRIX 3X3 PLATE /04.503.722 at Connecticut Children's

Hartford, CT

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Last updated: Jan 1, 2026

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