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Colorado rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.91 / $208.91 / $208.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.86 / $208.91 / $301.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.06 / $419.17 / $761.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $229.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $470.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $208.91 / $469.32
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $120.15 / $120.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $466.33 / $738.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $184.46 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.22 / $186.11 / $280.36