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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
$403.83 / $403.83 / $403.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.55 / $363.03 / $403.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.90 / $830.84 / $950.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.81 / $414.81 / $436.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $427.25
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.04 / $540.04 / $540.04
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.43 / $540.04 / $706.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.41 / $434.41 / $434.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.32 / $414.50 / $529.53