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Connecticut rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.75 / $294.75 / $294.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.91 / $294.75 / $364.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.98 / $606.42 / $693.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $379.58 / $386.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $335.73
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.18 / $394.18 / $394.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.18 / $394.18 / $557.91
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.10 / $807.10 / $807.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.55 / $403.55 / $403.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.88 / $302.54 / $455.84