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Connecticut rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.87 / $169.87 / $169.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.69 / $150.04 / $169.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.87 / $349.51 / $399.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.23 / $187.23 / $195.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $220.51
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.18 / $227.18 / $227.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.60 / $227.18 / $312.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.64 / $222.64 / $222.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $174.37 / $233.98