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Connecticut rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $168.13 / $168.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $168.13 / $195.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.10 / $345.93 / $395.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.18 / $197.18 / $207.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $203.51
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.85 / $224.85 / $224.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.02 / $224.85 / $310.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $206.91 / $206.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $172.58 / $248.64