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Connecticut rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.66 / $239.66 / $239.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.08 / $225.16 / $243.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.14 / $493.09 / $564.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.94 / $272.08 / $272.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.51 / $320.51 / $320.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.95 / $320.51 / $419.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.27 / $289.27 / $289.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.73 / $246.00 / $325.19