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Connecticut rates for HCPCS L1851

Knee Orthosis (Ko) Single Upright Thigh And Calfwith Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.85 / $512.85 / $512.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.85 / $462.40 / $615.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.61 / $692.40 / $792.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.32 / $685.32 / $685.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.97 / $636.97 / $712.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $464.99 / $636.97
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.06 / $450.06 / $450.06
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.93 / $450.06 / $595.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.15 / $732.15 / $732.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.15 / $732.15 / $732.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.73 / $526.41 / $764.16