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Connecticut rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.44 / $894.44 / $894.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.40 / $894.44 / $951.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.22 / $1,840.28 / $2,105.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $979.06 / $1,040.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $743.58
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.18 / $1,196.18 / $1,196.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.58 / $1,196.18 / $1,564.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.69 / $1,286.69 / $1,286.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.64 / $918.10 / $1,253.19