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Connecticut rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.43 / $361.43 / $361.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.91 / $361.43 / $386.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.30 / $743.63 / $850.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.30 / $454.30 / $474.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $387.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.36 / $483.36 / $483.36
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.36 / $523.60 / $743.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.44 / $472.44 / $472.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.12 / $370.99 / $558.96