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Connecticut rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $630.96 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $616.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $426.58