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Connecticut rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.51 / $2,095.51 / $2,095.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.25 / $2,095.51 / $2,459.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,341.40 / $4,311.49 / $4,932.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.31 / $2,574.31 / $2,689.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $3,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,371.77 / $3,249.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,802.47 / $2,802.47 / $2,802.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,802.47 / $3,018.04 / $4,306.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.85 / $2,677.85 / $2,677.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.50 / $2,150.94 / $3,168.20