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Connecticut rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.26 / $559.26 / $559.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.56 / $503.78 / $559.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.76 / $1,150.66 / $1,316.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.50 / $520.50 / $550.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $425.01 / $582.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.93 / $747.93 / $747.93
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.95 / $747.93 / $949.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.29 / $548.29 / $548.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.09 / $574.05 / $713.34