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Connecticut rates for HCPCS L5699

All Lower Extremity Prostheses Shoulder Harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.71 / $140.71 / $140.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $121.56 / $140.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.36 / $289.50 / $331.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.93 / $136.93 / $142.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $124.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.18 / $188.18 / $188.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $188.18 / $246.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $180.33 / $180.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.22 / $144.43 / $179.48