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Colorado rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.99 / $1,908.99 / $1,908.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.15 / $1,908.99 / $2,950.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.97 / $4,289.87 / $7,788.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.78 / $2,199.78 / $2,375.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,995.93
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $2,016.78 / $4,772.46
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.07 / $1,165.07 / $1,165.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.12 / $4,772.46 / $7,635.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.58 / $1,804.68 / $2,780.96