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Connecticut rates for HCPCS Q4108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $63.10 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $114.82 / $125.89