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Colorado rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.60 / $238.60 / $238.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.58 / $238.60 / $269.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.20 / $536.17 / $973.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $217.64 / $235.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $395.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $238.60 / $596.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $115.27 / $115.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.36 / $596.50 / $944.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.08 / $178.55 / $275.14