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Connecticut rates for HCPCS L5920

Addition Endoskeletal System Above Knee Or Hip Disarticulation Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.70 / $412.70 / $412.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.14 / $371.76 / $412.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.07 / $849.12 / $971.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.54 / $386.54 / $406.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $397.94
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.92 / $551.92 / $551.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.95 / $551.92 / $700.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $453.77 / $453.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.27 / $423.62 / $541.15