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Connecticut rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.43 / $1,194.43 / $1,194.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.48 / $1,194.43 / $1,252.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.58 / $2,457.52 / $2,811.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.38 / $1,275.38 / $1,332.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $1,620.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.39 / $1,597.39 / $1,597.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.94 / $1,597.39 / $2,088.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.49 / $1,354.49 / $1,354.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.64 / $1,226.03 / $1,594.45