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Colorado rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.16 / $207.16 / $207.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.22 / $207.16 / $311.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.31 / $465.52 / $845.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $248.84 / $268.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $492.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $230.99 / $517.89
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $133.44 / $133.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.45 / $517.89 / $828.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.11 / $206.69 / $318.51