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Connecticut rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.89 / $1,155.89 / $1,155.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.95 / $882.48 / $1,155.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.13 / $2,378.23 / $2,720.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.33 / $1,086.33 / $1,138.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,018.74
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.85 / $1,545.85 / $1,545.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.33 / $1,545.85 / $2,019.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.60 / $1,180.60 / $1,180.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.18 / $1,165.55 / $1,977.45