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Connecticut rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.84 / $193.84 / $193.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.83 / $154.96 / $193.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.80 / $237.16 / $271.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $197.68 / $206.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.15 / $154.15 / $154.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.18 / $154.15 / $204.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.60 / $151.60 / $151.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.85 / $192.76 / $270.74