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Colorado rates for HCPCS Q4239

Amnio-Maxx or Amnio-Maxx Lite, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $2,038.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,959.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.78 / $339.78 / $339.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $339.78 / $339.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $1,794.93 / $2,692.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.78 / $2,038.50 / $3,139.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.86 / $2,092.88 / $2,568.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,049.76 / $7,049.76 / $7,049.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62