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Connecticut rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.59 / $336.59 / $336.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.66 / $297.29 / $336.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.72 / $692.54 / $792.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.51 / $405.82 / $405.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.15 / $450.15 / $450.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.12 / $450.15 / $618.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.16 / $441.16 / $441.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.67 / $345.50 / $466.85