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Colorado rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $941.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $734.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $969.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.00 / $969.00 / $969.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $1,421.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.31 / $941.46 / $1,300.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.72 / $784.85 / $1,013.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,609.18 / $1,609.18 / $1,609.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50