go back

Colorado rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.86 / $348.86 / $348.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.53 / $348.86 / $459.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.71 / $783.95 / $1,423.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.41 / $317.41 / $342.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $559.92
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $348.86 / $872.14
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.53 / $168.53 / $168.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.33 / $872.14 / $1,381.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $261.06 / $402.28