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Colorado rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $17.17 / $17.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $17.17 / $19.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $32.76 / $59.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $24.10
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $17.17 / $39.33
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $36.45 / $57.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $14.24 / $20.53