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Connecticut rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.26 / $398.26 / $398.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.44 / $310.56 / $398.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.04 / $819.40 / $937.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.72 / $373.72 / $392.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.61 / $532.61 / $532.61
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.46 / $532.61 / $676.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.44 / $390.44 / $390.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.97 / $408.79 / $474.14