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Colorado rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.30 / $208.30 / $208.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $208.30 / $248.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.96 / $417.93 / $758.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.99 / $169.99 / $183.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $298.51
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $208.30 / $464.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.85 / $89.85 / $89.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.52 / $464.95 / $736.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.37 / $139.18 / $209.65