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Connecticut rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.00 / $5,297.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $394.65 / $452.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.76 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.48 / $540.37 / $769.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $1,464.11 / $1,685.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.32 / $482.42 / $824.74
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.56 / $2,143.32 / $2,255.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.05 / $950.54 / $1,732.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.13 / $491.48 / $1,291.42