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Connecticut rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.22 / $177.22 / $177.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.72 / $150.44 / $177.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.60 / $364.64 / $417.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $170.68 / $178.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $174.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.02 / $237.02 / $237.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.80 / $237.02 / $307.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.70 / $177.70 / $177.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.83 / $181.91 / $226.05