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Colorado rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.00 / $960.00 / $996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.84 / $100.84 / $100.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $100.84 / $100.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,152.00 / $1,478.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $788.99