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Connecticut rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $562.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $269.15 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $426.58