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Connecticut rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $426.58 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $741.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $446.68 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $512.86