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Connecticut rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.28 / $88.28 / $88.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $83.03 / $88.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $157.91 / $157.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.34 / $241.34 / $241.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $87.01 / $136.40