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Connecticut rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.08 / $2,081.08 / $2,081.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.33 / $1,930.89 / $2,085.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,318.37 / $4,281.77 / $4,898.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.84 / $2,635.75 / $2,635.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $2,448.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.15 / $2,783.15 / $2,783.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.15 / $2,783.15 / $3,939.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.40 / $2,557.40 / $2,557.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.18 / $2,136.13 / $2,945.77