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Colorado rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.31 / $1,409.31 / $1,409.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.57 / $1,409.31 / $1,421.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,516.63 / $2,827.69 / $5,133.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.16 / $1,137.16 / $1,137.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $2,019.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.91 / $1,409.31 / $3,145.79
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.91 / $607.91 / $607.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.14 / $2,894.12 / $4,982.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $941.64 / $1,418.45