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Connecticut rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.44 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $151.36 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $141.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $79.43 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $97.72