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Colorado rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.37 / $173.37 / $173.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $173.37 / $348.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $389.60 / $707.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.73 / $210.73 / $227.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $371.02
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.68 / $193.31 / $462.31
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.68 / $111.68 / $111.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.12 / $433.43 / $686.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $172.98 / $266.56