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Connecticut rates for HCPCS L1290

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric 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
$38.53 / $46.22 / $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
$53.11 / $53.11 / $56.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $60.55
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $61.81 / $81.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.57 / $60.57 / $60.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $47.44 / $79.06