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Connecticut rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.11 / $534.11 / $534.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.14 / $534.11 / $590.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.67 / $1,098.93 / $1,257.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.91 / $656.91 / $661.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $535.05
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.30 / $714.30 / $714.30
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.30 / $757.79 / $1,072.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.51 / $717.51 / $717.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.39 / $548.24 / $913.73