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Connecticut rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.22 / $46.22 / $46.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.42 / $45.66 / $49.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.69 / $95.09 / $108.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $52.62 / $55.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.38 / $61.81 / $81.22
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.46 / $59.46 / $59.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $59.46 / $59.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $47.44 / $79.06