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Colorado rates for HCPCS Q4199

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $130.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $114.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.22 / $317.22 / $317.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.22 / $317.22 / $317.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $104.86 / $448.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.82 / $130.26 / $212.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.16 / $122.27 / $157.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15