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Connecticut rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.30 / $1,204.30 / $1,204.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.38 / $1,118.63 / $1,208.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.31 / $2,477.82 / $2,834.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.91 / $1,317.91 / $1,386.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,599.98
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.58 / $1,610.58 / $1,610.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.05 / $1,610.58 / $2,106.15
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.58 / $1,679.58 / $1,679.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.58 / $1,679.58 / $1,679.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.37 / $1,236.16 / $1,670.08