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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
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,288.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $588.84 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $851.14