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Connecticut rates for HCPCS Q4103

Oasis Burn Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $12.99 / $20.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.88 / $13.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.96 / $15.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $12.49 / $13.25