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Connecticut rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $70.09 / $70.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $68.41 / $70.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.76 / $144.21 / $164.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $76.13 / $79.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.74 / $93.74 / $93.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.74 / $100.95 / $144.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.11 / $100.11 / $100.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $82.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $71.94 / $94.11