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Colorado rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.07 / $1,107.07 / $1,107.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.57 / $1,107.07 / $1,658.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.13 / $2,487.80 / $4,516.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.88 / $1,315.88 / $1,421.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,539.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,107.07 / $2,767.66
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.14 / $630.14 / $630.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.31 / $2,767.66 / $4,428.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.47 / $976.08 / $1,504.11