go back

Connecticut rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.42 / $254.42 / $254.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.20 / $189.25 / $254.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.68 / $523.46 / $598.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $246.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.25 / $340.25 / $340.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.87 / $340.25 / $444.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.23 / $250.23 / $250.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $261.14 / $435.25