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Colorado rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.38 / $595.38 / $595.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.84 / $595.38 / $848.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.75 / $1,337.93 / $2,429.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.97 / $656.97 / $709.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $1,299.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.30 / $609.84 / $1,488.44
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.30 / $352.30 / $352.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.25 / $1,488.44 / $2,381.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.55 / $545.71 / $840.91