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Colorado rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,944.00 / $2,944.00 / $2,944.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.19 / $2,944.00 / $3,054.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $830.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $2,944.00 / $4,504.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.40 / $731.40 / $837.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00