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Connecticut rates for HCPCS Q4111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $11.58 / $22.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.95 / $8.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $8.53 / $8.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $7.87 / $8.26