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Connecticut rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $79.48 / $150.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $53.28 / $55.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $54.75 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.11 / $52.75 / $55.39