go back

Connecticut rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $724.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $263.03 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $549.54