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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
$64.64 / $64.64 / $64.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $63.53 / $64.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.07 / $132.99 / $152.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $73.43
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.44 / $86.44 / $86.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.44 / $93.09 / $132.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.38 / $76.38 / $76.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $66.34 / $112.23