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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
$60.26 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $138.04 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $81.28 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $93.33