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Connecticut rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $354.81 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $741.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $501.19