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Colorado rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,389.80 / $4,389.80 / $4,389.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,746.17 / $4,389.80 / $6,574.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,779.60 / $9,864.76 / $17,910.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,217.74 / $5,217.74 / $5,917.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $9,246.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.65 / $4,389.80 / $10,974.50
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.65 / $2,498.65 / $2,498.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,409.11 / $10,974.50 / $17,559.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,578.48 / $3,870.38 / $6,450.63