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Connecticut rates for HCPCS A2015

Phoenix Wound Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,096.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $1,445.44