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Colorado rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $78.17 / $117.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.33 / $175.65 / $318.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.90 / $92.90 / $100.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $73.02 / $164.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.49 / $78.17 / $207.75
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $44.49 / $44.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.12 / $195.41 / $309.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $68.92 / $106.19