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Connecticut rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $56.86 / $56.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $56.86 / $62.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.67 / $116.99 / $133.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.34 / $61.34 / $64.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $68.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.04 / $76.04 / $76.04
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $76.04 / $92.64
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.74 / $60.74 / $60.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $60.74 / $60.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $58.37 / $97.28