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Colorado rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $14.21 / $21.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.41 / $31.92 / $57.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $16.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $30.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $14.34 / $35.51
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $35.51 / $62.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $12.83 / $19.78