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Colorado rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,911.23 / $3,911.23 / $3,911.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.21 / $3,911.23 / $5,099.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,822.45 / $8,789.29 / $15,957.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,804.46 / $3,804.46 / $4,108.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $7,489.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.72 / $3,911.23 / $9,778.06
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.72 / $2,005.72 / $2,005.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,710.39 / $9,778.06 / $15,488.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.52 / $3,106.84 / $4,787.54