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Colorado rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $83.18 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $44.67 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $50.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $144.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $42.66 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $50.12