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Connecticut rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.49 / $7,521.00 / $9,479.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $6,273.00 / $13,227.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $6,497.49 / $7,480.61
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.91 / $1,023.56 / $2,255.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.00 / $6,639.00 / $9,973.00