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Connecticut rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.95 / $1,775.95 / $1,775.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.13 / $1,647.81 / $1,779.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.84 / $3,653.99 / $4,180.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.17 / $2,249.31 / $2,249.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.09 / $2,375.09 / $2,375.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.09 / $2,375.09 / $3,361.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.54 / $2,626.54 / $2,626.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.17 / $1,822.93 / $2,553.21