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Colorado rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.02 / $398.02 / $398.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $398.02 / $519.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.03 / $894.42 / $1,623.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.43 / $412.43 / $445.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $692.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $398.02 / $995.04
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $192.28 / $192.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.10 / $995.04 / $1,576.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.38 / $297.85 / $458.97