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Connecticut rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.16 / $180.16 / $180.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.31 / $180.16 / $195.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.27 / $370.68 / $424.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.02 / $224.02 / $236.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $239.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.94 / $240.94 / $240.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.94 / $240.94 / $341.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.13 / $262.13 / $262.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.12 / $184.93 / $278.63