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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
$13,803.84 / $13,803.84 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $14,125.38 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $29,512.09 / $35,481.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,595.87 / $17,378.01 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $18,620.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,620.87 / $20,417.38 / $28,840.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $14,125.38 / $19,952.62