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Colorado rates for HCPCS L5613

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.77 / $1,843.77 / $1,843.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.48 / $1,843.77 / $2,243.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,687.53 / $4,143.31 / $7,522.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.71 / $1,788.71 / $1,931.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $3,409.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.36 / $1,843.77 / $4,609.41
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.36 / $947.36 / $947.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.90 / $4,609.41 / $7,301.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.77 / $1,467.45 / $2,261.29