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Connecticut rates for HCPCS L5728

Addition Exoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.79 / $1,850.79 / $1,850.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.17 / $1,384.77 / $1,850.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.17 / $3,807.96 / $4,356.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.30 / $1,715.30 / $1,822.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.17 / $2,475.17 / $2,475.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.50 / $2,475.17 / $3,236.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.48 / $1,814.48 / $1,814.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.79 / $1,899.75 / $2,360.69