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Connecticut rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.22 / $621.22 / $621.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.13 / $558.46 / $621.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.57 / $1,278.16 / $1,462.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.97 / $682.97 / $717.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $702.38
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.80 / $830.80 / $830.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.35 / $830.80 / $1,125.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.14 / $714.14 / $714.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.63 / $637.66 / $864.14