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Connecticut rates for HCPCS L6628

Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $691.83 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $645.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $234.42 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $457.09