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Connecticut rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.66 / $271.66 / $271.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.24 / $271.66 / $302.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.18 / $558.94 / $639.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.43 / $340.43 / $356.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.31 / $363.31 / $363.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.31 / $363.31 / $514.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $417.75 / $417.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.30 / $230.30 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.80 / $278.85 / $464.75