go back

Connecticut rates for HCPCS L5830

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic/ Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.92 / $1,475.92 / $1,475.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.61 / $1,141.51 / $1,475.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.42 / $3,036.67 / $3,474.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.42 / $1,376.42 / $1,453.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,654.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.84 / $1,973.84 / $1,973.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.66 / $1,973.84 / $2,581.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.97 / $1,446.97 / $1,446.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.14 / $1,514.96 / $1,935.63