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Connecticut rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.89 / $283.89 / $283.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.68 / $283.89 / $346.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.69 / $584.11 / $668.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.85 / $356.85 / $372.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $367.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.67 / $379.67 / $379.67
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.67 / $414.62 / $584.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.74 / $383.74 / $383.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $291.41 / $439.06