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Connecticut rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.06 / $872.06 / $872.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.16 / $746.04 / $872.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.54 / $1,794.25 / $2,052.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.12 / $822.12 / $858.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.26 / $1,166.26 / $1,166.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.31 / $1,166.26 / $1,577.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.96 / $854.96 / $854.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.12 / $895.13 / $1,143.51