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Colorado rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.04 / $778.37 / $1,154.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.09 / $1,120.68 / $1,718.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.09 / $988.68 / $1,336.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.02 / $981.18 / $1,293.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.64 / $1,158.19 / $1,745.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.85 / $1,158.96 / $1,853.03