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Connecticut rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$204

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$174 to $224
FacilityA hospital or hospital-owned outpatient department$263$229 to $380

How much rates vary

Facilitymedian $263 · 10th to 90th $219 to $437Professionalmedian $200 · 10th to 90th $155 to $407
$50$100$200$500$1K$2Kfacility $263professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$501.19
Health New England
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$229.09
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$346.74

Where Connecticut sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 45th of 51

$204

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.