go back

Connecticut rates for HCPCS Q4123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.41 / $116.41 / $204.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $72.27 / $75.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $74.25 / $89.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.97 / $71.55 / $75.13