go back

Connecticut rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.02 / $68.02 / $106.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $66.06 / $68.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $94.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $65.41 / $68.68