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Colorado rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $35.48 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $41.69 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $22.91 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $37.15 / $72.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.50 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $26.92