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Connecticut rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.22 / $3,250.22 / $3,250.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.05 / $2,964.76 / $3,250.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,182.63 / $6,687.26 / $7,650.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,804.46 / $3,804.46 / $3,974.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,346.72 / $4,346.72 / $4,346.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,323.68 / $4,346.72 / $6,119.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,956.53 / $3,956.53 / $3,956.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.02 / $3,336.20 / $4,787.54