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Colorado rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.34 / $1,015.34 / $1,015.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.15 / $1,015.34 / $1,297.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.67 / $2,281.66 / $4,142.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.65 / $1,450.68 / $1,707.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $2,064.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $1,015.34 / $2,538.34
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.48 / $496.48 / $496.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.39 / $2,538.34 / $4,020.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.04 / $769.04 / $1,185.07