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Colorado rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.83 / $268.83 / $268.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.39 / $268.83 / $364.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.05 / $539.38 / $979.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $280.08 / $280.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $352.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $257.36 / $518.72
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.11 / $268.83 / $600.05
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.11 / $148.11 / $148.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.44 / $600.05 / $960.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.32 / $229.42 / $345.60