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Colorado rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.80 / $141.80 / $141.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.52 / $141.80 / $239.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.60 / $318.64 / $578.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $170.68 / $184.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $324.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $155.94 / $354.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $90.08 / $90.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.03 / $354.50 / $567.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.01 / $139.54 / $215.02