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Colorado rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.71 / $245.71 / $245.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.12 / $245.71 / $310.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.41 / $552.15 / $1,002.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.02 / $224.02 / $241.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $429.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $245.71 / $614.26
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.39 / $119.39 / $119.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.73 / $614.26 / $972.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.98 / $184.93 / $284.95