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Connecticut rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $416.87 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $407.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $138.04 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $275.42