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Connecticut rates for HCPCS L5722

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.62 / $575.62 / $575.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.59 / $516.45 / $586.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.85 / $1,184.32 / $1,354.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.00 / $659.00 / $691.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $875.29
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.81 / $769.81 / $769.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.39 / $769.81 / $1,006.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.87 / $733.87 / $733.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.90 / $590.84 / $814.56