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Connecticut rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.63 / $74.63 / $74.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $74.63 / $89.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.99 / $153.54 / $175.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $93.24 / $97.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $99.32
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.80 / $99.80 / $99.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.80 / $104.59 / $148.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.55 / $97.55 / $97.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $76.59 / $115.42