go back

Colorado rates for HCPCS A2005

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $115.27 / $115.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $162.54 / $254.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $4.38 / $112.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $138.32 / $348.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.36 / $401.70 / $530.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $254.57