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Connecticut rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $54.95 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $128.82 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $120.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $47.86 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $85.11