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Connecticut rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.37 / $966.37 / $966.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.26 / $896.63 / $968.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.92 / $1,988.29 / $2,274.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.77 / $1,111.77 / $1,161.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $1,317.79
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.39 / $1,292.39 / $1,292.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.39 / $1,292.39 / $1,829.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.88 / $1,682.88 / $1,682.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.00 / $991.94 / $1,367.91