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Colorado rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.03 / $181.03 / $181.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.01 / $181.03 / $271.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.05 / $406.80 / $738.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $195.45 / $211.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $381.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $181.03 / $481.01
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $103.04 / $103.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.30 / $452.56 / $724.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.56 / $159.61 / $245.94