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Connecticut rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.15 / $161.15 / $161.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.01 / $151.57 / $161.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $183.74 / $183.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $153.80 / $210.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.85 / $139.85 / $139.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $158.83 / $248.99