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Connecticut rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $363.08 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $338.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $239.88