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Colorado rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.72 / $229.72 / $229.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.51 / $229.72 / $343.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.44 / $516.23 / $937.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.76 / $270.76 / $292.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $601.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $245.80 / $574.29
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $143.40 / $143.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.39 / $574.29 / $918.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.37 / $222.12 / $342.28