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Colorado rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,638.66 / $14,638.66 / $14,638.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,164.08 / $14,638.66 / $21,939.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,277.32 / $32,896.00 / $59,725.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,411.83 / $17,411.83 / $18,804.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $30,850.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $14,638.66 / $36,832.30
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,350.18 / $8,350.18 / $8,350.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,372.44 / $36,596.65 / $57,969.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,958.85 / $12,934.33 / $19,931.41