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Connecticut rates for HCPCS Q4116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $11,624.44 / $47,195.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.44 / $26.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $31.11 / $35.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $37.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $31.11 / $32.67