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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
$34.83 / $34.83 / $34.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $34.83 / $44.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $71.67 / $82.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $45.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $52.95
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $46.59 / $46.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $46.59 / $65.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $46.53 / $46.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.28 / $35.75 / $66.84