go back

Colorado rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,043.95 / $3,043.95 / $3,043.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.04 / $3,043.95 / $3,766.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,087.90 / $6,840.36 / $12,419.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.59 / $2,776.59 / $2,998.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $5,213.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $3,043.95 / $7,609.88
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.57 / $1,470.57 / $1,470.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,444.17 / $7,609.88 / $12,054.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.10 / $2,277.89 / $3,510.16