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Connecticut rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.11 / $168.11 / $168.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.49 / $153.10 / $168.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.07 / $345.90 / $395.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.99 / $169.99 / $178.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.84 / $224.84 / $224.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.83 / $224.84 / $312.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.24 / $177.24 / $177.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.37 / $172.56 / $287.60