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Connecticut rates for HCPCS Q4199

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.60 / $115.60 / $211.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $115.60 / $133.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $111.15 / $227.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.59 / $111.15 / $116.71