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Connecticut rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.45 / $37.45 / $37.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $32.10 / $37.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.72 / $77.06 / $88.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $40.28 / $43.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.09 / $50.09 / $50.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $50.09 / $67.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.34 / $38.44 / $64.06