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Colorado rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.73 / $58.73 / $58.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $58.73 / $97.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.45 / $131.97 / $239.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.42 / $71.42 / $77.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $128.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $65.48 / $146.81
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $37.83 / $37.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.74 / $146.81 / $258.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $58.60 / $90.29