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Connecticut rates for HCPCS L7401

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.50 / $196.50 / $196.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.94 / $182.32 / $196.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.33 / $404.30 / $462.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $248.87 / $248.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $267.94
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.80 / $262.80 / $262.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.80 / $262.80 / $371.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.82 / $307.82 / $307.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $201.70 / $284.45