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Connecticut rates for HCPCS L3170

Foot Plastic Silicone Or Equal Heel Stabilizer Prefabricated Off-The-Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $29.09 / $29.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $29.09 / $32.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $59.84 / $68.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $34.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $34.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $55.05
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $24.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.14 / $24.14 / $24.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $29.86 / $50.00