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Connecticut rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.89 / $1,229.89 / $1,229.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.18 / $1,105.63 / $1,229.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.12 / $2,530.48 / $2,895.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.19 / $1,387.19 / $1,453.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,703.99
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.81 / $1,644.81 / $1,644.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.46 / $1,644.81 / $2,150.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.05 / $1,657.05 / $1,657.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.42 / $1,262.43 / $2,436.92