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Colorado rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,073.80 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $4,073.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,370.32 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,786.30 / $10,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,089.30 / $3,235.94