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Connecticut rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.97 / $110.97 / $145.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $117.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $176.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $106.70 / $118.44