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Colorado rates for HCPCS L5637

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

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$195

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $269 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$174 to $229
FacilityA hospital or hospital-owned outpatient department$269$174 to $355

How much rates vary

Facilitymedian $269 · 10th to 90th $112 to $479Professionalmedian $191 · 10th to 90th $170 to $302
$200$500$1K$2Kfacility $269professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$363.08
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$275.42
Typical High
$478.63
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$588.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$741.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$269.15

Where Colorado sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 50th of 51

$195

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.