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Colorado rates for HCPCS Q4180

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,090.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $675.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.13 / $166.13 / $166.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.13 / $166.13 / $166.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $618.98 / $926.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.49 / $904.14 / $1,090.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.18 / $721.74 / $885.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12