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Connecticut rates for HCPCS L0450

Tlso Flexible Provides Trunk Support Upper Thoracic Region Produces Intracavitary Pressure To Reduce Load On The Intervertebral Disks With Rigid Stays Or Panel(S) Includes Shoulder Straps And Closures Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.89 / $126.89 / $126.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $99.80 / $126.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.50 / $141.29 / $161.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.07 / $119.07 / $124.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.72 / $133.72 / $133.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.62 / $97.62 / $133.72
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $91.84 / $120.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $123.95 / $166.94