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Connecticut rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.17 / $1,114.17 / $1,114.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.79 / $1,007.57 / $1,114.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.59 / $2,292.37 / $2,622.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.47 / $1,054.47 / $1,101.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $1,232.72
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.04 / $1,490.04 / $1,490.04
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.68 / $1,490.04 / $1,948.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.58 / $1,096.58 / $1,096.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.76 / $1,143.64 / $1,421.14