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Colorado rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.97 / $56.97 / $56.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $56.97 / $96.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.74 / $114.32 / $207.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.97 / $61.97 / $61.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $48.71 / $106.83
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $56.97 / $128.71
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $32.76 / $32.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.27 / $127.18 / $201.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $50.75 / $72.81