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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
$363.27 / $363.27 / $363.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.27 / $363.27 / $402.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.25 / $747.42 / $855.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.18 / $408.18 / $428.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.82 / $485.82 / $485.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.52 / $485.82 / $635.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.44 / $426.44 / $426.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.56 / $372.88 / $516.01