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Connecticut rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.06 / $361.06 / $361.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.75 / $334.62 / $361.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.72 / $742.87 / $849.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $350.31 / $355.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.87 / $482.87 / $482.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.70 / $482.87 / $650.65
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.68 / $425.68 / $425.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.68 / $425.68 / $425.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.95 / $370.61 / $617.67