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Connecticut rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $16.67 / $16.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $12.56 / $16.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $34.31 / $39.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $16.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.30 / $22.30 / $22.30
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $22.30 / $29.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $17.11 / $21.86