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Connecticut rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $39.96 / $43.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.56 / $88.48 / $101.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $54.54 / $54.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $81.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $50.25 / $50.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $44.14 / $61.89