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Vermont rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $56.14 / $56.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $43.91 / $43.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $43.91 / $43.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $59.94 / $115.25