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Colorado rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.25 / $1,272.25 / $1,272.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.18 / $1,272.25 / $2,196.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,544.50 / $2,859.00 / $5,190.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.10 / $1,711.10 / $1,809.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $2,445.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,274.04 / $3,180.63
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.00 / $736.00 / $736.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.49 / $3,180.63 / $5,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.07 / $1,140.05 / $1,756.79