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Colorado rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.65 / $511.65 / $511.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $511.65 / $577.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.30 / $1,149.78 / $2,087.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.88 / $468.88 / $506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $858.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.19 / $511.65 / $1,279.13
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.19 / $247.19 / $247.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.01 / $1,279.13 / $2,026.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.01 / $382.88 / $590.01