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Connecticut rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.06 / $7,629.00 / $10,260.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.91 / $11,936.00 / $15,915.00
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
$998.00 / $1,416.08 / $2,940.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.00 / $8,196.00 / $13,943.00