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Colorado rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $128.82 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $41.69 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $162.18 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89