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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
$110.00 / $110.00 / $110.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $110.00 / $160.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $247.19 / $448.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.08 / $107.08 / $115.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $193.71
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $110.00 / $275.00
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $56.56 / $56.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.60 / $275.00 / $435.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $87.61 / $135.00