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Connecticut rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.71 / $123.71 / $123.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $88.59 / $123.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.26 / $254.53 / $291.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $116.28 / $121.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $87.08
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.44 / $165.44 / $165.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.09 / $165.44 / $209.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $123.49 / $123.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $123.02 / $211.64