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Connecticut rates for HCPCS Q4133

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.29 / $585.08 / $681.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $140.12 / $166.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.52 / $150.52 / $228.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $138.74 / $147.06