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Colorado rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.39 / $2,416.39 / $2,416.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.39 / $2,416.39 / $3,639.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,832.77 / $5,430.10 / $9,858.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.48 / $2,952.48 / $3,188.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $6,412.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.51 / $2,694.38 / $6,040.96
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.51 / $1,556.51 / $1,556.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,527.92 / $6,040.96 / $9,665.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.17 / $2,411.02 / $3,715.30