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Connecticut rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.86 / $373.86 / $373.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.66 / $373.86 / $379.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.14 / $769.21 / $880.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $382.93 / $417.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.99 / $499.99 / $499.99
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.99 / $538.45 / $769.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.44 / $415.44 / $415.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.86 / $383.75 / $639.58