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Colorado rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $264.20 / $264.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.73 / $264.20 / $387.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.40 / $593.71 / $1,077.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $272.08 / $293.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $500.98
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $264.20 / $660.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.24 / $136.24 / $136.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.73 / $660.50 / $1,046.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.11 / $211.03 / $325.19