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Connecticut rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $74.13 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $66.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $38.02 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $46.77