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Connecticut rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.15 / $155.15 / $155.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.03 / $151.44 / $155.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.39 / $319.20 / $365.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.44 / $159.44 / $166.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.49 / $207.49 / $207.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $223.45 / $319.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.80 / $165.80 / $165.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.53 / $159.25 / $200.64