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Vermont rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.80 / $114.80 / $132.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $172.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $119.96 / $129.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $172.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $129.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $139.36 / $271.97