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Connecticut rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $501.19 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $234.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $416.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $181.97 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $331.13