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Connecticut rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,457.40 / $2,457.40 / $2,457.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.05 / $2,289.39 / $2,700.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,918.44 / $5,056.05 / $5,784.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.76 / $2,800.76 / $2,925.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,670.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,286.43 / $3,286.43 / $3,286.43
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.89 / $3,286.43 / $4,297.64
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.63 / $2,912.63 / $2,912.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.97 / $2,522.41 / $3,524.39