go back

Connecticut rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,415.64 / $2,415.64 / $2,415.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $2,241.32 / $2,420.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.84 / $4,970.12 / $5,686.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,779.11 / $2,779.11 / $2,902.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $3,294.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,230.58 / $3,230.58 / $3,230.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.58 / $3,230.58 / $4,572.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,628.40 / $3,628.40 / $3,628.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.25 / $2,479.54 / $3,497.15