go back

Connecticut rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.25 / $314.25 / $314.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.72 / $267.29 / $314.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.10 / $646.58 / $739.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.41 / $317.41 / $333.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $338.50
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.28 / $420.28 / $420.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.13 / $420.28 / $549.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.46 / $332.46 / $332.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $322.57 / $402.28