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Connecticut rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.72 / $42.72 / $42.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $42.72 / $52.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $87.89 / $100.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $52.58 / $56.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $66.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $57.13 / $57.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $80.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $56.54 / $56.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $43.92 / $84.64