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Connecticut rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $758.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $426.58 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $537.03