go back

Colorado rates for HCPCS Q4197

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $71.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $70.70 / $72.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.34 / $178.34 / $178.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.34 / $178.34 / $178.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.69 / $66.69 / $188.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.04 / $74.94 / $134.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.06 / $77.77 / $100.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70