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Connecticut rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,119.68 / $4,119.68 / $4,119.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.65 / $3,822.43 / $4,128.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,569.04 / $8,476.18 / $9,697.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.71 / $5,217.74 / $5,217.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $6,042.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,509.52 / $5,509.52 / $5,509.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,509.52 / $5,509.52 / $7,798.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,902.52 / $5,902.52 / $5,902.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,227.10 / $4,228.67 / $5,964.13