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Colorado rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.35 / $644.35 / $644.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.80 / $644.35 / $1,293.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.69 / $1,447.97 / $2,628.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.30 / $787.30 / $850.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,494.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.05 / $718.47 / $1,718.25
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.05 / $415.05 / $415.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.74 / $1,610.86 / $2,577.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.42 / $642.91 / $990.71