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Connecticut rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.16 / $426.16 / $426.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.68 / $373.75 / $426.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.54 / $876.83 / $1,003.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $401.80 / $419.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $410.92
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.94 / $569.94 / $569.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.63 / $569.94 / $745.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.80 / $417.80 / $417.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.83 / $437.44 / $543.58