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Colorado rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.20 / $1,289.20 / $1,289.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.64 / $1,289.20 / $1,456.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.40 / $2,897.09 / $5,259.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.71 / $1,168.71 / $1,262.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $2,241.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,289.20 / $3,223.00
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.83 / $622.83 / $622.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.23 / $3,223.00 / $5,105.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.99 / $964.75 / $1,486.65