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Connecticut rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.06 / $738.06 / $738.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.04 / $738.06 / $855.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.86 / $1,518.54 / $1,737.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.15 / $904.15 / $947.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.05 / $987.05 / $987.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.94 / $987.05 / $1,365.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.08 / $1,075.08 / $1,075.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.15 / $757.58 / $1,262.64