go back

Connecticut rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.93 / $4,722.42 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.74 / $398.39 / $826.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $4,735.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.44 / $515.98 / $934.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.05 / $461.82 / $753.98
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.50 / $486.47 / $508.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.17 / $471.67 / $796.29