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Connecticut rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.55 / $179.55 / $179.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.76 / $179.55 / $249.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.29 / $369.41 / $422.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.76 / $221.34 / $221.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.12 / $240.12 / $240.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.12 / $240.12 / $339.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.46 / $180.46 / $180.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.46 / $180.46 / $180.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $184.30 / $307.16