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Connecticut rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.26 / $1,105.26 / $1,105.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.62 / $1,087.04 / $1,112.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.40 / $2,274.06 / $2,601.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.07 / $1,250.07 / $1,328.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.14 / $1,478.14 / $1,478.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.14 / $1,478.14 / $2,092.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.25 / $1,358.25 / $1,358.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.79 / $1,134.50 / $1,890.83