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Colorado rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $218.78 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $251.19