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Connecticut rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.48 / $2,196.48 / $2,196.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.94 / $1,802.41 / $2,196.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.39 / $4,519.21 / $5,170.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.67 / $2,063.67 / $2,162.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $1,546.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,937.49 / $2,937.49 / $2,937.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.16 / $2,937.49 / $3,841.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.73 / $2,534.73 / $2,534.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.58 / $2,254.58 / $2,801.62