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Connecticut rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $97.72 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $95.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $47.86 / $64.57