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Connecticut rates for HCPCS L3960

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Airplane Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.86 / $467.86 / $467.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.66 / $467.86 / $486.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.02 / $962.61 / $1,101.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.70 / $492.70 / $517.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $510.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.70 / $625.70 / $625.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.17 / $625.70 / $764.57
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.00 / $577.35 / $1,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.49 / $480.24 / $800.40