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Connecticut rates for HCPCS Q4190

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $263.03 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $812.83