go back

Connecticut rates for HCPCS L6695

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.49 / $383.49 / $383.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.85 / $344.75 / $383.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.51 / $789.04 / $902.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.98 / $424.98 / $426.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $564.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $411.98 / $564.36
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.88 / $512.88 / $512.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.41 / $512.88 / $670.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.61 / $587.61 / $587.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.41 / $393.64 / $513.79