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Connecticut rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $26.89 / $26.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $26.45 / $30.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.89 / $55.34 / $63.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $30.80 / $32.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $31.65
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $35.97 / $35.97
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $35.97 / $50.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $30.65 / $30.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $20.87 / $25.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $27.61 / $50.00