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Colorado rates for HCPCS L5858

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $19,952.62 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $11,748.98 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $25,703.96 / $50,118.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,589.25 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $15,488.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,803.84 / $22,908.68 / $46,773.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,387.21 / $22,908.68 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $13,182.57 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $10,000.00 / $15,135.61