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Colorado rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.04 / $111.04 / $111.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.51 / $111.04 / $200.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.07 / $249.52 / $453.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $133.38 / $144.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $138.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $101.29 / $253.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $123.81 / $277.58
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $277.58 / $444.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $110.79 / $170.72