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Connecticut rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.80 / $2,108.80 / $2,108.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.59 / $1,895.75 / $2,186.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.59 / $4,338.82 / $4,964.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.21 / $2,469.21 / $2,604.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $2,550.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $1,861.53 / $2,550.04
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,820.23 / $2,820.23 / $2,820.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699.89 / $2,820.23 / $3,821.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,122.42 / $3,122.42 / $3,122.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.90 / $2,164.59 / $3,067.56