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Colorado rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $302.00 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $173.78 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $128.82 / $199.53