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Colorado rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.10 / $89.10 / $89.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.84 / $89.10 / $119.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.11 / $178.78 / $324.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $84.87 / $91.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $167.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.29 / $89.10 / $200.17
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $45.29 / $45.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.15 / $198.89 / $315.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $70.16 / $105.69