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Connecticut rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $101.34 / $101.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $101.34 / $110.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.59 / $208.50 / $238.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $137.44 / $137.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $175.58
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.53 / $135.53 / $135.53
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.53 / $143.38 / $202.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.13 / $146.13 / $146.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.38 / $104.02 / $156.72