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Connecticut rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $151.36