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Colorado rates for HCPCS L5857

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,187.68 / $5,187.68 / $5,187.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,306.92 / $5,187.68 / $7,785.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,375.37 / $11,657.78 / $21,165.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,635.06 / $5,635.06 / $6,085.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.12 / $6,652.12 / $6,652.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.05 / $4,856.05 / $10,942.27
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.74 / $5,187.68 / $12,969.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.74 / $2,970.74 / $2,970.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,574.03 / $12,969.23 / $20,543.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,254.60 / $4,601.64 / $7,091.00