go back

Colorado rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.47 / $193.47 / $193.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.35 / $193.47 / $346.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.48 / $388.18 / $704.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.09 / $210.09 / $226.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $388.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $193.47 / $460.64
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.27 / $111.27 / $111.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.20 / $431.85 / $684.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $172.36 / $259.63