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Connecticut rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $73.73 / $73.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.55 / $73.73 / $81.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.58 / $151.72 / $173.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $82.18 / $86.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $112.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.62 / $98.62 / $98.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.95 / $98.62 / $125.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.05 / $79.05 / $189.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $75.69 / $126.15