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Connecticut rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.53 / $1,324.53 / $1,324.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.85 / $1,102.86 / $1,324.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,112.02 / $2,725.19 / $3,117.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.91 / $1,242.91 / $1,304.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,367.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.37 / $1,771.37 / $1,771.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.28 / $1,771.37 / $2,331.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.54 / $1,298.54 / $1,298.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.55 / $1,359.56 / $1,736.82