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Colorado rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.63 / $390.63 / $390.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.09 / $390.63 / $517.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.25 / $877.81 / $1,593.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.30 / $355.30 / $383.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $679.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.72 / $390.63 / $976.56
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.72 / $188.72 / $188.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.30 / $976.56 / $1,546.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.27 / $292.32 / $450.45