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Connecticut rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.11 / $76.11 / $76.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.08 / $63.40 / $76.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $156.60 / $179.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.42 / $71.42 / $74.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $97.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.79 / $101.79 / $101.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.78 / $101.79 / $133.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.37 / $102.37 / $102.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $78.13 / $97.08