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Connecticut rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $72.44 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $72.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $35.48 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $54.95