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Colorado rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $251.19 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $107.15 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $416.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $223.87 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $134.90