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Connecticut rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.51 / $681.51 / $1,188.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $661.85 / $720.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.01 / $655.29 / $1,338.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.54 / $655.29 / $688.07