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Connecticut rates for HCPCS L5626

Addition To Lower Extremity Test Socket Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.76 / $336.76 / $336.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.03 / $302.11 / $336.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.97 / $692.87 / $792.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.85 / $345.85 / $365.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $360.31 / $493.58
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.37 / $450.37 / $450.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.97 / $450.37 / $588.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.27 / $518.27 / $518.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.79 / $345.67 / $441.57