go back

Connecticut rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.89 / $5,244.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.39 / $441.67 / $637.51
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
$233.58 / $498.96 / $737.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.25 / $389.86 / $717.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.49 / $493.86 / $493.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.64 / $488.49 / $1,117.45