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Connecticut rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.41 / $4,531.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.78 / $324.47 / $489.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.00 / $4,998.99 / $8,931.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.90 / $338.08 / $776.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.31 / $331.61 / $672.35
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.06 / $454.06 / $468.94
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.03 / $1,567.03 / $2,756.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $137.52 / $275.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.00 / $5,950.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.45 / $426.42 / $755.09