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Colorado rates for HCPCS Q4249

AMNIPLY, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,969.89 / $1,969.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,028.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.70 / $596.70 / $596.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.70 / $596.70 / $596.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.38 / $1,858.38 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $2,088.08 / $3,246.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.17 / $2,166.88 / $2,659.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89