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Connecticut rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,699.84 / $1,699.84 / $1,699.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.05 / $1,528.10 / $1,762.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,710.49 / $3,497.40 / $4,001.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.03 / $2,055.03 / $2,097.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,400.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.31 / $2,273.31 / $2,273.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.29 / $2,273.31 / $3,080.29
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.69 / $2,516.69 / $2,516.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.55 / $1,744.81 / $2,470.67