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Connecticut rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $204.52 / $204.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $170.25 / $204.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $420.80 / $481.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $217.64 / $228.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.52 / $273.52 / $273.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.64 / $273.52 / $357.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.38 / $227.38 / $227.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.21 / $209.93 / $275.14