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Connecticut rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $14.04 / $14.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $13.24 / $14.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.40 / $28.90 / $33.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $16.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.79 / $18.79 / $18.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $18.79 / $25.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.02 / $15.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.41 / $24.02