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Colorado rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.68 / $263.68 / $263.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.85 / $263.68 / $529.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.36 / $592.54 / $1,075.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $319.89 / $345.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $240.56 / $564.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.85 / $294.02 / $703.15
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.85 / $169.85 / $169.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.97 / $659.20 / $1,054.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.25 / $263.08 / $405.42