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Colorado rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.88 / $1,181.88 / $1,181.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.12 / $1,181.88 / $2,096.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.76 / $2,655.92 / $4,822.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.38 / $1,275.38 / $1,377.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $2,529.46
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.36 / $1,181.88 / $2,954.70
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.36 / $672.36 / $672.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.54 / $2,954.70 / $4,727.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.93 / $1,041.48 / $1,604.89