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Connecticut rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.83 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $245.79 / $457.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $6,273.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.77 / $409.75 / $594.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.75 / $361.12 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.79 / $315.17 / $581.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $809.30 / $1,135.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.61 / $373.01 / $509.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.61 / $429.61 / $429.61
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
$207.41 / $362.21 / $905.40