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Connecticut rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $87.10 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $95.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $47.86 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $57.54