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Connecticut rates for HCPCS Q4249

AMNIPLY, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.67 / $2,048.67 / $2,911.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,989.59 / $2,068.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.41 / $1,969.89 / $2,230.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.40 / $1,969.89 / $2,088.08