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Connecticut rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $380.19 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $263.03 / $371.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $257.04