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Connecticut rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $48.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $51.29