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Colorado rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $45.88 / $45.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $45.88 / $68.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.76 / $103.10 / $187.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $54.54 / $58.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $96.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $45.88 / $114.70
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $114.70 / $184.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.39 / $40.45 / $62.32