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Colorado rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.90 / $425.90 / $425.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.06 / $425.90 / $642.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.79 / $957.07 / $1,737.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $401.80 / $433.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $703.67
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.80 / $425.90 / $1,064.74
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.80 / $211.80 / $211.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.80 / $1,064.74 / $1,686.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.33 / $328.08 / $505.56