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Connecticut rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $134.90 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $97.72 / $141.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $91.20