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Colorado rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.13 / $897.13 / $897.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.58 / $897.13 / $1,013.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.25 / $2,016.02 / $3,660.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.12 / $822.12 / $887.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $1,439.92
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $897.13 / $2,242.81
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.41 / $433.41 / $433.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.80 / $2,242.81 / $3,588.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.72 / $671.35 / $1,034.53