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Connecticut rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.67 / $1,110.67 / $1,110.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.47 / $1,110.67 / $1,355.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.02 / $2,285.19 / $2,614.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.34 / $1,711.10 / $1,711.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,800.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.37 / $1,485.37 / $1,485.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.37 / $1,485.37 / $2,102.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.62 / $1,565.62 / $1,565.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.03 / $1,140.05 / $1,717.71