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Colorado rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $15,488.17 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $8,912.51 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $18,197.01 / $28,183.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $18,197.01 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $10,471.29 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,762.47 / $12,302.69