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Connecticut rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.71 / $618.71 / $618.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.01 / $451.45 / $618.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.58 / $1,273.00 / $1,456.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.25 / $581.25 / $609.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $435.50
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.45 / $827.45 / $827.45
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.58 / $827.45 / $1,082.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.58 / $606.58 / $606.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.39 / $393.39 / $629.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.66 / $635.08 / $789.18