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Connecticut rates for HCPCS Q4183

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $162.18