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Connecticut rates for HCPCS L1250

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $46.20 / $46.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $44.96 / $48.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $95.04 / $108.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $49.30 / $51.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $61.62
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.78 / $61.78 / $61.78
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.90 / $61.78 / $80.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $57.37 / $57.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $47.41 / $79.02