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Connecticut rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $22.39 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $39.81 / $125.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $125.89