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Connecticut rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.68 / $91.68 / $91.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.40 / $91.68 / $95.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.18 / $188.62 / $215.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $96.39 / $101.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $99.66
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.60 / $122.60 / $122.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $122.60 / $160.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.33 / $101.33 / $101.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $94.10 / $122.61