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Connecticut rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.33 / $7,687.65 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.43 / $1,646.64 / $3,031.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.33 / $2,535.60 / $3,147.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.57 / $1,895.44 / $3,166.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.12 / $1,837.87 / $33,999.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.89 / $1,803.99 / $3,519.47