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Colorado rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.40 / $43.20 / $50.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.19 / $54.02 / $99.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.93 / $101.05 / $183.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $54.74 / $54.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $42.34 / $101.56
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $50.36 / $119.91
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $28.97 / $28.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $112.41 / $178.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.87 / $67.59