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Colorado rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.60 / $62.60 / $62.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $62.60 / $108.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.20 / $140.66 / $255.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $76.13 / $82.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $166.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $69.80 / $156.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $40.32 / $40.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $156.50 / $275.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $93.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $62.46 / $96.25