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Colorado rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.72 / $359.72 / $359.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.24 / $359.72 / $490.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.36 / $721.76 / $1,310.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.43 / $340.43 / $340.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $659.33
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.02 / $359.72 / $802.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.02 / $180.02 / $180.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.92 / $802.95 / $1,271.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.36 / $276.36 / $325.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.19 / $278.85 / $420.05