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Connecticut rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.20 / $522.20 / $522.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.76 / $486.90 / $522.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.68 / $1,074.42 / $1,229.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.33 / $505.33 / $535.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $524.34
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.37 / $698.37 / $698.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.37 / $727.25 / $1,029.33
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.94 / $399.94 / $399.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.12 / $533.12 / $533.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.06 / $536.02 / $893.36