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Connecticut rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.16 / $137.16 / $232.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $137.16 / $145.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.87 / $136.87 / $164.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.31 / $131.90 / $138.50