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Connecticut rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.49 / $218.49 / $218.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $218.49 / $253.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.39 / $449.54 / $514.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.76 / $270.76 / $284.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $245.16
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.20 / $292.20 / $292.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.20 / $323.67 / $449.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.50 / $287.50 / $287.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.15 / $224.27 / $334.67