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Colorado rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.43 / $821.43 / $821.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.50 / $821.43 / $1,118.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.85 / $1,845.91 / $3,351.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.90 / $902.90 / $975.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,846.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $827.78 / $2,053.56
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.20 / $478.20 / $478.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.28 / $2,053.56 / $3,252.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.86 / $740.73 / $1,141.43