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Connecticut rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $39.39 / $39.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $39.27 / $39.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.80 / $81.03 / $92.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $39.58 / $41.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $69.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $34.09 / $46.70
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.67 / $52.67 / $52.67
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.81 / $52.67 / $69.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.93 / $44.93 / $44.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $41.94 / $41.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $40.43 / $75.58