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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
$286.13 / $286.13 / $286.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.41 / $286.13 / $481.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.26 / $642.99 / $1,167.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.85 / $345.85 / $382.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $360.31 / $626.17
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $319.05 / $715.33
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.31 / $184.31 / $184.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $715.33 / $1,144.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.95 / $285.49 / $439.93