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Colorado rates for HCPCS Q4115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $14.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $13.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.13 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $14.48 / $21.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.15 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86