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Connecticut rates for HCPCS Q4165

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $45.25 / $45.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $8.19 / $33.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.14 / $44.36 / $49.24