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Vermont rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.81 / $993.83 / $993.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $102.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $102.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.71 / $132.63 / $756.05