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Connecticut rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $8,317.64 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $20,892.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $12,302.69 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $12,882.50