go back

Colorado rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $12.40 / $12.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $12.40 / $17.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $54.93 / $54.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $10.81 / $30.35
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $124.00 / $155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $14.08 / $24.16