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Connecticut rates for HCPCS L4397

Static Or Dynamic Ankle Foot Orthosis Including Soft Interface Material Adjustable For Fit For Positioning May Be Used For Minimal Ambulation Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.20 / $100.20 / $100.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $100.20 / $126.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.77 / $206.16 / $235.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.31 / $115.83 / $115.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $127.07 / $127.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $134.00 / $181.53
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.61 / $99.61 / $99.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $99.61 / $99.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $102.85 / $171.42