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Connecticut rates for HCPCS L1930

Ankle Foot Orthosis Plastic Or Other Material Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.49 / $149.49 / $149.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.98 / $149.49 / $164.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.37 / $307.57 / $351.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $170.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $128.34 / $175.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.92 / $199.92 / $199.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.23 / $199.92 / $261.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $142.16 / $165.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.31 / $165.31 / $205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.10 / $153.44 / $296.20