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Colorado rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,441.63 / $2,441.63 / $2,441.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.42 / $2,441.63 / $3,656.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,883.25 / $5,486.82 / $9,961.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.12 / $2,902.12 / $3,134.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,107.31 / $5,143.14
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.75 / $2,441.63 / $6,104.06
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.75 / $1,389.75 / $1,389.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,564.77 / $6,104.06 / $9,668.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.36 / $2,152.71 / $3,317.27