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Colorado rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $863.01 / $863.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.01 / $863.01 / $1,733.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.01 / $1,939.34 / $3,521.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.47 / $1,054.47 / $1,138.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $2,209.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $962.29 / $2,301.34
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $555.90 / $555.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.99 / $2,157.51 / $3,452.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.15 / $861.09 / $1,326.91