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Colorado rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.07 / $109.07 / $109.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $109.07 / $166.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.13 / $245.09 / $444.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $123.82 / $133.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $279.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $113.82 / $272.66
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $65.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.22 / $272.66 / $436.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $101.84 / $156.94