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Connecticut rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.78 / $619.78 / $619.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.32 / $535.91 / $619.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.27 / $1,275.19 / $1,458.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.97 / $656.97 / $698.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $957.73
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.87 / $828.87 / $828.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.49 / $828.87 / $1,123.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.93 / $715.93 / $715.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.50 / $636.17 / $835.07