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Connecticut rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.79 / $1,538.79 / $1,538.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.64 / $1,538.79 / $1,689.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.67 / $3,166.04 / $3,622.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.19 / $1,760.19 / $1,858.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $1,819.89
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.92 / $2,057.92 / $2,057.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.92 / $2,279.55 / $3,166.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.39 / $1,850.39 / $1,850.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.40 / $1,579.50 / $2,223.48