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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
$68.52 / $68.52 / $107.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $68.52 / $72.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $68.37 / $82.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.59 / $65.88 / $71.22