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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
$11,341.15 / $11,341.15 / $11,341.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,397.00 / $11,341.15 / $16,985.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,682.29 / $25,485.82 / $46,271.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,489.26 / $12,489.26 / $13,488.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,513.81 / $14,513.81 / $14,513.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $10,595.08 / $23,889.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,455.32 / $11,341.15 / $30,140.25
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,455.32 / $6,455.32 / $6,455.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,558.07 / $28,352.86 / $44,910.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,245.09 / $9,999.21 / $15,408.48