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Connecticut rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.92 / $2,884.92 / $2,884.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.87 / $2,321.73 / $2,884.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.14 / $5,935.66 / $6,790.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.48 / $2,952.48 / $3,084.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $2,612.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,858.18 / $3,858.18 / $3,858.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.82 / $3,858.18 / $5,045.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.46 / $3,238.46 / $3,238.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.86 / $2,961.23 / $3,851.08