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Connecticut rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.55 / $1,651.55 / $1,651.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.41 / $1,651.55 / $1,986.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,633.47 / $3,398.02 / $3,887.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.34 / $1,988.34 / $2,112.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $2,482.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.71 / $2,208.71 / $2,208.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.71 / $2,303.92 / $3,260.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.30 / $2,103.30 / $2,103.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.07 / $1,364.07 / $2,182.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.72 / $1,695.24 / $2,527.40