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Colorado rates for HCPCS Q4117

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.95 / $22.95 / $22.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $22.95 / $23.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $16.91 / $16.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $16.91 / $16.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.90 / $32.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $22.95 / $35.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $28.22 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69