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Connecticut rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.61 / $263.61 / $263.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.75 / $254.01 / $263.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.34 / $542.37 / $620.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.79 / $263.79 / $277.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $200.41
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.54 / $352.54 / $352.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.54 / $377.10 / $533.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.45 / $276.45 / $276.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.50 / $270.58 / $345.67