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Connecticut rates for HCPCS L5650

Additions To Lower Extremity Total Contact Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $284.77 / $284.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.01 / $284.77 / $339.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.10 / $585.94 / $670.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.30 / $355.30 / $373.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $276.69
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.86 / $380.86 / $380.86
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.86 / $421.88 / $585.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.25 / $372.25 / $372.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.08 / $292.32 / $440.44