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Connecticut rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.12 / $1,432.12 / $1,432.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.28 / $1,328.77 / $1,435.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.58 / $2,946.56 / $3,371.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.60 / $1,647.60 / $1,721.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,952.91
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.26 / $1,915.26 / $1,915.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.26 / $1,915.26 / $2,710.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.09 / $2,151.09 / $2,151.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.83 / $1,470.01 / $2,073.29