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Connecticut rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.62 / $292.62 / $292.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.05 / $292.62 / $351.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.59 / $602.04 / $688.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.89 / $365.89 / $384.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $382.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.33 / $391.33 / $391.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.33 / $421.44 / $601.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.49 / $382.49 / $382.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.22 / $300.36 / $452.54