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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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $34.67 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $32.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $11.22 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $22.39