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Colorado rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.78 / $1,394.78 / $1,394.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.44 / $1,394.78 / $2,569.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.55 / $3,134.34 / $5,690.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.36 / $1,696.36 / $1,832.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $3,818.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.44 / $1,555.24 / $3,486.94
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.44 / $898.44 / $898.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.37 / $3,486.94 / $5,579.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.72 / $1,391.68 / $2,144.53