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Connecticut rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $147.91 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $104.71 / $151.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $74.13 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $95.50