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Colorado rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.78 / $1,339.78 / $1,339.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.52 / $1,339.78 / $2,531.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.56 / $3,010.75 / $5,466.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $1,619.41 / $1,748.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $3,417.49
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $1,339.78 / $3,738.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.01 / $863.01 / $863.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.08 / $3,349.45 / $5,305.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.98 / $1,336.80 / $2,059.96