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Colorado rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.41 / $389.41 / $389.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.61 / $389.41 / $456.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.81 / $875.07 / $1,588.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.85 / $356.85 / $390.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $903.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.13 / $389.41 / $973.51
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.13 / $188.13 / $188.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.53 / $973.51 / $1,542.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.43 / $291.41 / $449.05