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Connecticut rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.02 / $1,808.02 / $1,808.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.85 / $1,677.56 / $1,811.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.98 / $3,719.97 / $4,256.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $3,053.24 / $3,053.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,417.98 / $2,417.98 / $2,417.98
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.98 / $2,417.98 / $3,422.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.29 / $1,855.85 / $2,618.15