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Connecticut rates for HCPCS L1110

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.04 / $165.04 / $165.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.21 / $146.63 / $165.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.16 / $339.56 / $388.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.24 / $175.24 / $183.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $164.47 / $225.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.71 / $220.71 / $220.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.02 / $220.71 / $288.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.18 / $196.18 / $196.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.28 / $169.40 / $282.33