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Colorado rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.56 / $217.56 / $217.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.41 / $217.56 / $436.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.12 / $488.90 / $887.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.79 / $263.79 / $284.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $559.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.13 / $242.58 / $580.16
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $140.13 / $140.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.64 / $543.90 / $870.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.71 / $217.07 / $334.51