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Colorado rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.10 / $249.10 / $249.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.83 / $249.10 / $278.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.83 / $499.81 / $907.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.09 / $225.09 / $225.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $168.57 / $425.77
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $249.10 / $556.04
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $119.03 / $119.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.73 / $556.04 / $880.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.40 / $184.37 / $292.41