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Colorado rates for HCPCS L5677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.89 / $295.89 / $295.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.52 / $295.89 / $594.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.78 / $664.92 / $1,207.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.88 / $359.88 / $388.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $400.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $681.17
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.60 / $329.94 / $789.04
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.60 / $190.60 / $190.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $739.73 / $1,183.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.97 / $295.24 / $454.95