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Connecticut rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $117.49 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $123.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $75.86