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Connecticut rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.67 / $832.67 / $832.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.38 / $748.54 / $832.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.75 / $1,713.22 / $1,960.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.90 / $902.90 / $947.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.58 / $1,113.58 / $1,113.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.05 / $1,113.58 / $1,508.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.76 / $1,232.76 / $1,232.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.27 / $854.71 / $1,141.43