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Connecticut rates for HCPCS L2387

Addition To Lower Extremity Polycentric Knee Joint For Custom Fabricated Knee Ankle Foot Orthosis Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.14 / $97.25 / $120.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.66 / $248.59 / $284.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $111.76 / $118.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $116.51
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.58 / $161.58 / $161.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.19 / $161.58 / $205.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.11 / $130.11 / $130.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.81 / $76.81 / $92.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.46 / $121.84 / $206.70