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Colorado rates for HCPCS L7401

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.39 / $209.39 / $209.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $209.39 / $313.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.78 / $470.54 / $854.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.87 / $248.87 / $268.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $441.03
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.17 / $209.39 / $556.42
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.17 / $119.17 / $119.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.70 / $523.48 / $837.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $184.60 / $293.95