go back

Connecticut rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.13 / $2,482.13 / $2,482.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.52 / $2,211.38 / $2,482.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,957.88 / $5,106.93 / $5,842.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.31 / $2,547.31 / $2,660.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $3,006.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.51 / $3,319.51 / $3,319.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,303.00 / $3,319.51 / $4,675.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.07 / $2,649.07 / $2,649.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.35 / $2,547.80 / $3,254.76