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Connecticut rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,662.49 / $2,662.49 / $2,662.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.06 / $2,505.53 / $2,742.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,245.47 / $5,478.02 / $6,267.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,159.00 / $3,569.66 / $3,569.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,728.42
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.71 / $3,560.71 / $3,560.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,377.20 / $3,560.71 / $4,780.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,234.64 / $4,234.64 / $4,234.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.62 / $2,732.92 / $3,948.74