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Connecticut rates for HCPCS Q4150

AlloWrap DS or dry, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $125.89