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Colorado rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.22 / $281.22 / $281.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.66 / $281.22 / $378.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.18 / $564.25 / $1,024.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.99 / $308.99 / $318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $620.24
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $281.22 / $631.77
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.74 / $161.74 / $161.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.59 / $627.73 / $994.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $250.53 / $377.39