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Connecticut rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.23 / $6,343.00 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.60 / $1,336.12 / $2,217.08
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
$959.62 / $1,821.51 / $2,510.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.41 / $1,528.97 / $2,658.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.17 / $1,353.55 / $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
$897.50 / $1,458.44 / $2,999.79