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Connecticut rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $288.40 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $239.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $87.10 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $190.55