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Colorado rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.41 / $104.41 / $104.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.14 / $104.41 / $140.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.44 / $209.48 / $380.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $111.76 / $120.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $199.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $104.41 / $251.69
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $60.05 / $60.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $233.05 / $369.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $92.18 / $108.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $93.02 / $140.12