go back

Connecticut rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.05 / $1,144.05 / $1,144.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.34 / $1,061.49 / $1,146.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.24 / $2,353.86 / $2,693.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.81 / $1,448.96 / $1,448.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.01 / $1,530.01 / $1,530.01
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.01 / $1,530.01 / $2,165.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.90 / $1,405.90 / $1,405.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.18 / $1,174.31 / $1,656.24