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Connecticut rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.11 / $141.11 / $141.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.75 / $127.11 / $141.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $290.32 / $332.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.08 / $132.08 / $138.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $140.85 / $140.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $102.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.71 / $188.71 / $188.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.53 / $188.71 / $239.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $138.34 / $138.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.54 / $144.84 / $185.03