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Connecticut rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.55 / $6,343.00 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.67 / $1,435.95 / $2,736.13
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
$1,040.06 / $2,244.41 / $2,701.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.34 / $1,789.52 / $2,875.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.13 / $1,751.92 / $1,812.33
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
$1,039.22 / $1,654.93 / $3,785.63