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Connecticut rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.92 / $25.92 / $25.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.38 / $25.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.47 / $41.47 / $41.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $38.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $25.55 / $40.04