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Connecticut rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.34 / $73.34 / $73.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.68 / $68.05 / $73.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.96 / $150.91 / $172.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $92.90 / $92.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $73.02 / $100.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.10 / $98.10 / $98.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $98.10 / $138.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $110.19 / $110.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $75.29 / $106.19