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Colorado rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $407.38 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $467.74