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Colorado rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.72 / $190.72 / $190.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.58 / $190.72 / $382.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.43 / $428.57 / $778.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $231.73 / $250.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $408.15
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.85 / $212.66 / $508.57
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $122.85 / $122.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.44 / $476.79 / $755.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.94 / $190.30 / $293.23