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Connecticut rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.27 / $23.27 / $23.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $22.89 / $23.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.10 / $47.87 / $54.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $26.70 / $27.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $31.12 / $44.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $20.01 / $20.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $23.89 / $46.11