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Colorado rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.84 / $166.84 / $166.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $166.84 / $335.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.68 / $374.92 / $680.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $202.82 / $219.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $363.48
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $186.04 / $444.91
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.47 / $107.47 / $107.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.59 / $417.10 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $219.98 / $249.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $166.47 / $256.52