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Colorado rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.05 / $635.05 / $635.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.72 / $635.05 / $846.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.10 / $1,427.10 / $2,591.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.97 / $682.97 / $737.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $1,477.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $635.05 / $1,587.64
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.03 / $362.03 / $362.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.18 / $1,587.64 / $2,514.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.48 / $560.78 / $864.14