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Connecticut rates for HCPCS A2011

Supra SDRM, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.75 / $125.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $125.89