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Colorado rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.86 / $998.86 / $998.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.95 / $998.86 / $1,343.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.67 / $2,004.13 / $3,638.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.33 / $1,086.33 / $1,173.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.47 / $998.86 / $2,243.94
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.47 / $574.47 / $574.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.08 / $2,229.59 / $3,531.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.98 / $889.85 / $1,276.59