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Connecticut rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.47 / $4,908.03 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.20 / $277.93 / $439.98
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
$150.94 / $329.12 / $548.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.22 / $274.44 / $466.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.88 / $330.48 / $330.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.00 / $5,950.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.18 / $317.18 / $726.58