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Colorado rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $15.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $15.78 / $21.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $31.65 / $57.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $16.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $29.12
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $15.78 / $35.21
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.56 / $35.21 / $55.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $12.61 / $19.00