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Connecticut rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $194.98 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $114.82 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $138.04 / $190.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $138.04