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Colorado rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.99 / $118.99 / $118.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.73 / $118.99 / $196.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.97 / $267.38 / $485.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.12 / $120.12 / $129.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $122.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $89.29 / $209.44
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.04 / $118.99 / $297.45
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.04 / $63.04 / $63.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.72 / $297.45 / $471.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $97.65 / $150.47