go back

Connecticut rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.50 / $383.50 / $383.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.52 / $345.46 / $383.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.51 / $789.04 / $902.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.88 / $359.88 / $377.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $400.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $400.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.88 / $512.88 / $512.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.66 / $512.88 / $650.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.99 / $375.99 / $375.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.41 / $393.65 / $511.94