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Connecticut rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.49 / $336.49 / $336.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.49 / $306.61 / $336.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.54 / $692.31 / $792.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.80 / $420.80 / $441.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $432.60
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $457.97 / $648.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.85 / $439.85 / $439.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.58 / $345.39 / $520.39