go back

Colorado rates for HCPCS A2013

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $1,296.00 / $1,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.80 / $1,296.00 / $1,344.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.85 / $952.85 / $952.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.85 / $952.85 / $952.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $1,620.00 / $2,015.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.08 / $2,085.75 / $2,753.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00