go back

Connecticut rates for HCPCS Q4158

Kerecis Omega3 Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $69.95 / $107.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $68.97 / $74.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $69.81 / $84.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.97 / $67.27 / $74.67