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Connecticut rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.81 / $1,069.81 / $1,069.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.95 / $1,055.79 / $1,069.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.85 / $2,201.10 / $2,518.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.16 / $1,137.16 / $1,204.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $1,179.41
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.72 / $1,430.72 / $1,430.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.72 / $1,540.77 / $2,201.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.15 / $1,444.15 / $1,444.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.02 / $1,098.09 / $1,830.17