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Colorado rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.40 / $1,245.40 / $1,245.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.24 / $1,245.40 / $1,513.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,490.80 / $2,798.66 / $5,081.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.33 / $1,131.33 / $1,221.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $852.13 / $1,998.93
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.66 / $1,245.40 / $3,113.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.66 / $601.66 / $601.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.28 / $3,113.50 / $4,931.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.69 / $931.98 / $1,436.15