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Connecticut rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.27 / $72.27 / $72.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $70.76 / $72.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.24 / $148.69 / $170.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $80.98 / $80.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $65.11 / $89.19
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.66 / $96.66 / $96.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.12 / $96.66 / $126.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $86.09 / $86.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.61 / $74.18 / $93.18