go back

Connecticut rates for HCPCS L5400

Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.09 / $702.09 / $702.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.63 / $702.09 / $856.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.52 / $1,444.54 / $1,652.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.44 / $878.44 / $921.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.63 / $902.63 / $902.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.92 / $658.92 / $902.63
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.95 / $938.95 / $938.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.95 / $938.95 / $1,328.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.97 / $720.66 / $1,110.52