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Colorado rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.38 / $340.38 / $340.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.59 / $340.38 / $511.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.76 / $764.90 / $1,388.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.82 / $405.82 / $438.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $718.46
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $340.38 / $850.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.58 / $195.58 / $195.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.95 / $850.95 / $1,347.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.11 / $302.95 / $466.85