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Colorado rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.64 / $1,569.64 / $1,569.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.41 / $1,569.64 / $2,529.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.28 / $3,527.30 / $6,404.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.19 / $1,760.19 / $1,901.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $3,345.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.03 / $1,623.78 / $3,924.10
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.03 / $938.03 / $938.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.67 / $3,924.10 / $6,278.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.42 / $1,453.01 / $2,239.04