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Connecticut rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.04 / $742.04 / $1,531.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $742.04 / $941.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $1,216.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.83 / $713.50 / $749.18