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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
$2,272.91 / $2,272.91 / $2,272.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.40 / $2,272.91 / $3,109.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,545.81 / $5,107.67 / $9,273.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.21 / $2,469.21 / $2,666.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $2,550.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $1,861.53 / $5,092.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.38 / $2,275.23 / $5,682.26
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.38 / $1,314.38 / $1,314.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,318.44 / $5,682.26 / $9,000.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.40 / $2,035.96 / $3,137.34