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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

Facilitymedian $135 · 10th–90th $78–$1950%20%10th90th$135Professionalmedian $78 · 10th–90th $65–$1350%20%40%10th90th$78$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $177.83 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $158.49 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $69.18 / $158.49