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Colorado rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $660.69 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $588.84 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $380.19 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $288.40 / $436.52