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Connecticut rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.18 / $1,253.18 / $1,253.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.55 / $914.38 / $1,253.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.26 / $2,578.40 / $2,949.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.71 / $1,168.71 / $1,234.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.96 / $1,675.96 / $1,675.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.97 / $1,675.96 / $2,127.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,228.59 / $1,228.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,286.33 / $1,598.45