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Connecticut rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.66 / $1,629.66 / $1,629.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.42 / $1,493.77 / $1,629.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,598.58 / $3,353.01 / $3,836.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.36 / $1,696.36 / $1,780.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,272.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,179.46 / $2,179.46 / $2,179.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.24 / $2,179.46 / $2,850.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.11 / $2,238.11 / $2,238.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.58 / $1,672.78 / $2,144.53