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Colorado rates for HCPCS Q4116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.07 / $58,148.28 / $110,337.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $24.89 / $26.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $44.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.89 / $31.11 / $44.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11