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Connecticut rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $776.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $269.15 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $575.44