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Colorado rates for HCPCS L6695

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.90 / $378.90 / $378.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.92 / $378.90 / $551.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.79 / $851.45 / $1,545.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.98 / $424.98 / $458.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $564.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $411.98 / $801.74
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.25 / $378.90 / $1,011.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.25 / $215.25 / $215.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.19 / $947.24 / $1,515.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.27 / $333.42 / $513.79