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Colorado rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.63 / $1,808.63 / $1,808.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.09 / $1,808.63 / $3,177.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,617.25 / $4,064.34 / $7,379.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.34 / $1,988.34 / $2,147.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $3,916.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.25 / $1,845.71 / $4,521.56
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.25 / $1,066.25 / $1,066.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.59 / $4,521.56 / $7,162.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $2,477.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.05 / $1,651.61 / $2,545.08