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Connecticut rates for HCPCS L3670

Shoulder Orthosis Acromio/Clavicular (Canvas And Webbing Type) Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.12 / $56.74 / $60.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $60.59 / $71.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.61 / $124.66 / $142.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $83.38 / $83.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $91.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $86.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.03 / $81.03 / $81.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.03 / $87.26 / $124.66
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $75.81 / $75.81
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $75.81 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $62.19 / $103.65