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Vermont rates for HCPCS A5512

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of Shore A 35 durometer or 3/16 inch material of Shore A 40 durometer (or higher), prefabricated, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $24.49 / $24.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $29.32 / $29.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $24.26 / $27.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $24.26 / $27.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $28.87 / $30.13