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Connecticut rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.89 / $1,251.89 / $1,251.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.52 / $1,012.81 / $1,251.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.20 / $2,575.73 / $2,946.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.64 / $1,148.64 / $1,232.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,207.09
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.23 / $1,674.23 / $1,674.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.78 / $1,674.23 / $2,189.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.33 / $1,227.33 / $1,227.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.11 / $1,262.33 / $2,141.67