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Connecticut rates for HCPCS L1200

Thoracic-Lumbar-Sacral-Orthosis (Tlso) Inclusive Of Furnishing Initial Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.40 / $1,018.40 / $1,018.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.16 / $942.14 / $1,018.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.87 / $2,095.32 / $2,397.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.50 / $1,138.79 / $1,138.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.20 / $1,184.20 / $1,184.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.47 / $864.47 / $1,184.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.96 / $1,361.96 / $1,361.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.34 / $1,361.96 / $1,781.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.92 / $1,243.92 / $1,243.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.74 / $1,045.33 / $1,742.23