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Connecticut rates for HCPCS L2624

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Extension Abduction Control Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.32 / $181.32 / $181.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.85 / $181.32 / $221.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.12 / $373.06 / $426.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $238.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.49 / $242.49 / $242.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.49 / $259.66 / $367.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.60 / $235.60 / $235.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.72 / $153.72 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.04 / $186.11 / $310.19