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Colorado rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.90 / $111.90 / $111.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $111.90 / $168.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.79 / $251.45 / $456.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.93 / $136.93 / $147.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $285.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.08 / $124.77 / $279.74
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $72.08 / $72.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.37 / $279.74 / $447.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $111.65 / $172.04