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Colorado rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.18 / $106.70 / $106.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $109.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $100.66 / $264.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.18 / $113.10 / $203.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.30 / $117.37 / $151.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70