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Connecticut rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $61.66 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $60.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $43.65