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Connecticut rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.02 / $373.02 / $373.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.33 / $373.02 / $445.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.79 / $767.47 / $878.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.88 / $468.88 / $489.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $572.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.86 / $498.86 / $498.86
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.86 / $552.58 / $767.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.60 / $487.60 / $487.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.20 / $382.88 / $576.89