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Connecticut rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.60 / $1,313.60 / $1,313.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.66 / $1,313.60 / $1,589.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,094.58 / $2,702.68 / $3,092.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $1,619.41 / $1,709.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.74 / $1,756.74 / $1,756.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.74 / $1,815.27 / $2,569.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.29 / $1,959.29 / $1,959.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.98 / $1,348.34 / $2,031.10