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Connecticut rates for HCPCS L3010

Foot Insert Removable Molded To Patient Model Longitudinal Arch Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.61 / $99.61 / $405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $99.60 / $112.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.83 / $204.94 / $234.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.05 / $114.05 / $119.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $102.59 / $102.59
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.21 / $133.21 / $133.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.21 / $133.21 / $188.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.75 / $79.65 / $99.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.65 / $79.65 / $79.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $102.25 / $170.41