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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
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $380.19 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $239.88 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $389.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $281.84