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Connecticut rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $426.58 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $229.09 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $398.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $154.88 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $281.84