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Connecticut rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.65 / $4,908.03 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.06 / $261.48 / $426.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $321.70 / $528.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.67 / $255.18 / $504.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.89 / $341.61 / $341.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.58 / $366.30 / $786.38