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Connecticut rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.17 / $1,906.17 / $1,906.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.05 / $1,399.85 / $1,906.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,039.48 / $3,921.91 / $4,487.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.71 / $1,788.71 / $1,877.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $1,902.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,549.23 / $2,549.23 / $2,549.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.93 / $2,549.23 / $3,235.57
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.87 / $1,920.87 / $1,920.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.17 / $1,956.59 / $2,431.34