go back

Connecticut rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $363.08 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $645.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $302.00 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $457.09