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Connecticut rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.49 / $268.49 / $268.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.39 / $201.97 / $268.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.12 / $552.41 / $632.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $248.84 / $264.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.07 / $359.07 / $359.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.54 / $359.07 / $469.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.19 / $264.19 / $264.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.32 / $275.58 / $342.46