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Colorado rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.95 / $268.95 / $268.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.18 / $268.95 / $426.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.91 / $604.40 / $1,097.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.39 / $263.39 / $284.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $465.40
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $268.95 / $672.39
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.08 / $140.08 / $140.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.67 / $672.39 / $1,065.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $216.98 / $334.37