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Colorado rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.90 / $106.90 / $106.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $106.90 / $143.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.90 / $214.50 / $389.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $116.28 / $125.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $295.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $106.90 / $240.17
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.36 / $238.63 / $377.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.48 / $95.24 / $143.46