go back

Connecticut rates for HCPCS Q4139

Amniomatrix Or Biodmatrix Injectable 1 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $1,820.00 / $2,847.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $1,820.00 / $1,820.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $424.92 / $540.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $462.60 / $636.75