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Connecticut rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.82 / $400.82 / $400.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.17 / $369.10 / $400.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.14 / $824.70 / $943.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.90 / $409.90 / $428.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $306.61 / $420.01
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.05 / $536.05 / $536.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.05 / $551.29 / $780.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.05 / $427.05 / $427.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.98 / $411.43 / $516.74