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Connecticut rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.08 / $934.08 / $934.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.26 / $841.42 / $934.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.43 / $1,921.85 / $2,198.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.06 / $874.06 / $919.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $876.09 / $1,200.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.20 / $1,249.20 / $1,249.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.90 / $1,249.20 / $1,585.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.76 / $915.76 / $915.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.70 / $958.79 / $1,140.48