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Connecticut rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.99 / $1,430.99 / $1,430.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.26 / $1,430.99 / $1,565.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,281.79 / $2,944.24 / $3,368.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.58 / $1,972.92 / $1,972.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,257.05 / $1,721.98
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.76 / $1,913.76 / $1,913.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.26 / $1,913.76 / $2,535.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.25 / $2,074.25 / $2,074.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.95 / $1,468.85 / $2,118.58