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Colorado rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.48 / $29.48 / $29.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $29.48 / $39.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.65 / $59.16 / $107.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $27.25 / $27.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $60.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $27.78 / $66.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $14.99 / $14.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $65.81 / $104.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $23.01 / $27.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $23.21 / $34.97