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Connecticut rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $42.80 / $67.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $39.67 / $59.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.25 / $88.06 / $100.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $40.10 / $42.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $61.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.24 / $57.24 / $57.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.24 / $57.24 / $81.02
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $47.30 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $43.93 / $73.22