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Connecticut rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.66 / $10.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $21.10 / $24.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $11.78 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.72 / $13.72 / $13.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.72 / $18.57
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $11.88 / $11.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.60 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $10.52 / $17.54