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Connecticut rates for HCPCS Q4195

Puraply Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.86 / $101.86 / $175.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $98.92 / $107.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $97.94 / $112.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $185.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $97.94 / $102.84