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Colorado rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.87 / $582.87 / $582.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.72 / $582.87 / $718.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.73 / $1,309.81 / $2,378.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.25 / $581.25 / $627.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,173.42
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.50 / $582.87 / $1,457.16
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.50 / $307.50 / $307.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.98 / $1,457.16 / $2,308.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $629.41 / $714.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.39 / $476.31 / $733.98