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Connecticut rates for HCPCS L3257

Orthopedic Footwear Additional Charge For Split Size (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $14.95 / $15.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $54.93 / $54.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $15.67 / $24.56