go back

Connecticut rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $691.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $407.38 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $537.03