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Connecticut rates for HCPCS Q4191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $660.69 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $794.33 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $1,737.80