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Connecticut rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.60 / $1,210.60 / $1,210.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.96 / $879.67 / $1,210.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.37 / $2,490.80 / $2,849.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.33 / $1,131.33 / $1,192.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $852.13 / $1,167.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.02 / $1,619.02 / $1,619.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.27 / $1,619.02 / $2,054.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.88 / $1,186.88 / $1,186.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.32 / $1,242.64 / $1,544.14