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Colorado rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.87 / $362.87 / $362.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.01 / $362.87 / $548.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.74 / $815.44 / $1,480.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.90 / $409.90 / $442.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $306.61 / $810.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.49 / $374.74 / $907.18
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.49 / $216.49 / $216.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.79 / $907.18 / $1,436.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.04 / $335.33 / $516.74