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Connecticut rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $758.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $575.44