go back

Connecticut rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.18 / $247.18 / $247.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.64 / $222.67 / $247.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.14 / $508.57 / $581.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $231.73 / $243.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.57 / $330.57 / $330.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.57 / $330.57 / $467.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.34 / $242.34 / $242.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.63 / $253.72 / $315.29