go back

Connecticut rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.46 / $1,219.46 / $1,896.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,184.28 / $1,231.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.25 / $1,172.56 / $1,739.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.93 / $1,172.56 / $1,231.19