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Colorado rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $501.19 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $288.40 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $331.13