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Connecticut rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.97 / $1,038.97 / $1,038.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.26 / $963.98 / $1,041.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.69 / $2,137.66 / $2,445.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.52 / $1,315.88 / $1,315.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $892.45
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.48 / $1,389.48 / $1,389.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.48 / $1,389.48 / $1,966.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.47 / $1,652.47 / $1,652.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.86 / $1,066.46 / $1,470.66