go back

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
$8,309.19 / $8,309.19 / $8,309.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,439.81 / $7,709.58 / $8,326.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,249.38 / $17,095.98 / $19,559.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,672.80 / $5,672.80 / $5,672.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,112.39 / $11,112.39 / $11,112.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,112.39 / $11,112.39 / $15,728.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,508.88 / $8,528.99 / $12,169.09