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Colorado rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.25 / $1,389.25 / $1,389.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.34 / $1,389.25 / $2,492.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,778.50 / $3,121.92 / $5,668.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.92 / $1,972.92 / $2,130.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,257.05 / $3,341.23
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $1,486.50 / $3,473.13
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.57 / $887.57 / $887.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.31 / $3,473.13 / $5,557.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.15 / $1,374.83 / $2,118.58