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Connecticut rates for HCPCS Q4122

Dermacell Dermacell Awm Or Dermacell Awm Porous Per Square Centimeter (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.85 / $102.85 / $160.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.01 / $102.85 / $102.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $110.00 / $110.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.85 / $102.85 / $102.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $102.85 / $102.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $102.85 / $108.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $110.00 / $115.50