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Vermont rates for HCPCS E1816

Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.30 / $1,071.83 / $1,071.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $107.63 / $107.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $107.63 / $110.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $107.63 / $107.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $107.63 / $110.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $143.05 / $815.36