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Colorado rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.21 / $54.21 / $54.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $54.21 / $79.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.80 / $108.76 / $197.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $57.20 / $58.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $101.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $54.21 / $121.00
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $121.00 / $191.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $47.66 / $71.80