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Colorado rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.09 / $115.09 / $115.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $111.89 / $139.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $142.31 / $207.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.97 / $158.50 / $222.14
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.98 / $137.71 / $193.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $151.38 / $233.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.68 / $176.29 / $264.43