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Colorado rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.52 / $82.52 / $82.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.44 / $82.52 / $160.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.04 / $185.44 / $336.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $96.39 / $104.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $184.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $88.91 / $212.64
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.37 / $51.37 / $51.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.48 / $206.30 / $330.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $79.56 / $122.61