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Connecticut rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.07 / $384.07 / $384.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.26 / $384.07 / $419.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.41 / $790.21 / $904.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.76 / $482.76 / $504.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.64 / $513.64 / $513.64
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.64 / $553.15 / $790.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.03 / $502.03 / $502.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.85 / $394.23 / $593.98