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Colorado rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,248.07 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,677.35 / $9,549.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,677.35 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $2,691.53 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $3,090.30