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Connecticut rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.01 / $22.01 / $22.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $20.70 / $22.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $67.64 / $67.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $54.32 / $54.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $21.69 / $34.01