go back

Connecticut rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $354.81 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $251.19 / $346.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $245.47