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Colorado rates for HCPCS L4397

Static Or Dynamic Ankle Foot Orthosis Including Soft Interface Material Adjustable For Fit For Positioning May Be Used For Minimal Ambulation Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.41 / $112.41 / $112.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $112.90 / $153.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.73 / $225.54 / $409.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $120.05 / $148.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $127.07 / $127.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $234.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.41 / $132.06 / $287.89
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $132.06 / $132.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.53 / $250.91 / $401.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $89.95 / $141.12