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Colorado rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.60 / $185.60 / $185.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.26 / $185.60 / $293.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.43 / $372.39 / $676.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $185.10 / $185.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $338.65
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $185.60 / $416.96
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $97.89 / $97.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.94 / $414.29 / $656.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.68 / $151.62 / $228.40