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Connecticut rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.16 / $290.16 / $290.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.81 / $290.16 / $326.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.69 / $597.02 / $683.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.05 / $412.43 / $412.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.06 / $388.06 / $388.06
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.06 / $388.06 / $549.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.23 / $393.23 / $393.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.76 / $420.76 / $420.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.30 / $297.85 / $458.97