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Colorado rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.26 / $136.26 / $136.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $136.26 / $205.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.52 / $306.20 / $555.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $148.22 / $160.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $269.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.51 / $136.26 / $340.65
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.51 / $78.51 / $78.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.94 / $340.65 / $539.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.44 / $121.61 / $187.40