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Colorado rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.61 / $60.61 / $60.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.36 / $60.61 / $121.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.21 / $136.19 / $247.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $80.98 / $87.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $65.11 / $131.26
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $67.58 / $161.61
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $39.04 / $39.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.48 / $151.51 / $266.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.91 / $60.47 / $95.90