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Connecticut rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.41 / $93.41 / $93.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $71.00 / $93.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.94 / $192.19 / $219.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $87.33 / $91.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $90.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.92 / $124.92 / $124.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.04 / $124.92 / $163.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.58 / $91.58 / $91.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.17 / $95.88 / $122.48