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Connecticut rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $602.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $281.84 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $467.74