go back

Connecticut rates for HCPCS Q4183

Surgigraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $132.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $85.00 / $85.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $85.00 / $95.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $85.00 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $160.91 / $168.97