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Connecticut rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.42 / $57.42 / $57.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.41 / $56.48 / $59.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.57 / $118.15 / $135.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $64.14 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.56
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $76.80 / $76.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $76.80 / $108.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $72.41 / $72.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $58.94 / $110.21