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Connecticut rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,904.32 / $13,904.32 / $13,904.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,365.06 / $12,755.60 / $13,904.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,171.08 / $28,607.84 / $32,730.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,544.62 / $17,411.83 / $17,411.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $16,200.25
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,595.09 / $18,595.09 / $18,595.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,468.91 / $18,595.09 / $26,140.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,794.71 / $16,794.71 / $16,794.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,891.75 / $14,272.14 / $19,793.02