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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
$62.04 / $62.04 / $62.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.81 / $56.43 / $62.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.92 / $127.64 / $146.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $57.96 / $61.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.97 / $82.97 / $82.97
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $82.97 / $108.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $60.81 / $60.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $63.68 / $106.13