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Colorado rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $9.61 / $15.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $28.55 / $28.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $10.77 / $29.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $74.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $10.61 / $18.66