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Colorado rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.86 / $218.86 / $218.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $218.86 / $438.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.72 / $491.82 / $892.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.64 / $264.64 / $285.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $311.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $466.91
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $243.28 / $581.80
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.54 / $547.15 / $875.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $217.69 / $335.46