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Colorado rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $457.09 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $489.78 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $562.34