go back

Connecticut rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

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
$26.92 / $35.48 / $57.54
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
$38.90 / $38.90 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $79.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $36.31 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $47.86