go back

Connecticut rates for HCPCS L5971

All Lower Extremity Prosthesis Solid Ankle Cushion Heel (Sach) Foot Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.97 / $157.97 / $157.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.08 / $124.80 / $157.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.88 / $325.01 / $371.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $148.22 / $155.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $159.21
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.26 / $211.26 / $211.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.44 / $211.26 / $268.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.90 / $194.90 / $194.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $162.13 / $188.07