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Colorado rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,574.02 / $2,574.02 / $2,574.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.24 / $2,574.02 / $3,855.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,148.04 / $5,784.34 / $10,502.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,779.11 / $2,779.11 / $3,001.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $5,422.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.11 / $2,574.02 / $6,435.05
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.11 / $1,465.11 / $1,465.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,758.07 / $6,435.05 / $10,193.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.29 / $2,269.44 / $3,497.15