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Connecticut rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.25 / $309.25 / $309.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.05 / $260.62 / $309.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.12 / $636.28 / $727.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.99 / $308.99 / $320.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $313.79
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.58 / $413.58 / $413.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.28 / $413.58 / $550.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.77 / $381.77 / $381.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $317.43 / $529.04