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Connecticut rates for HCPCS Q4214

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $288.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $125.89