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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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $489.78 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,000.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $407.38 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $588.84