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Connecticut rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.77 / $282.77 / $282.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $254.73 / $282.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.90 / $581.80 / $665.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.64 / $264.64 / $278.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $311.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $311.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.18 / $378.18 / $378.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.70 / $378.18 / $494.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.24 / $277.24 / $277.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.51 / $290.26 / $360.69