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Connecticut rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.61 / $321.61 / $321.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.95 / $316.31 / $335.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.83 / $661.72 / $757.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.49 / $396.47 / $396.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $419.48
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.12 / $430.12 / $430.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.12 / $430.12 / $608.78
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.40 / $362.40 / $362.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.08 / $483.08 / $483.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.93 / $330.12 / $637.25