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Connecticut rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $711.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.01 / $693.19 / $762.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.02 / $1,464.54 / $1,675.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.51 / $839.51 / $876.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.95 / $951.95 / $951.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.21 / $951.95 / $1,264.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.05 / $873.05 / $873.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.59 / $730.64 / $1,056.42