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Colorado rates for HCPCS Q4250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.66 / $2,979.56 / $2,979.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $3,068.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.56 / $2,979.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.90 / $2,810.90 / $2,979.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $2,979.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.66 / $3,158.33 / $4,911.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,247.71 / $3,277.51 / $4,022.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $2,979.56