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Connecticut rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.75 / $341.75 / $341.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.31 / $307.85 / $341.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.94 / $703.15 / $804.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $319.89 / $336.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $240.56 / $329.53
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.05 / $457.05 / $457.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.05 / $457.05 / $646.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.04 / $335.04 / $335.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $350.79 / $435.90