go back

Connecticut rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.09 / $1,938.09 / $1,938.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.67 / $1,618.45 / $1,938.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.37 / $3,987.57 / $4,562.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.42 / $1,932.42 / $2,027.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,476.09
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,591.92 / $2,591.92 / $2,591.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,253.13 / $2,591.92 / $3,389.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.91 / $2,018.91 / $2,018.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.17 / $1,989.36 / $2,472.06