go back

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
$426.58 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $331.13 / $501.19