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Vermont rates for HCPCS L0455

Tlso Flexible Provides Trunk Support Extends From Sacrococcygeal Junction To Above T-9 Vertebra Restricts Gross Trunk Motion In The Sagittal Plane Produces Intracavitary Pressure To Reduce Load On The Intervertebral Disks With Rigid Stays Or Panel(S) Includes Shoulder Straps And Closures Prefabricated Off- The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $207.49 / $239.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.10 / $278.10 / $278.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.01 / $278.10 / $286.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.10 / $278.10 / $278.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.01 / $278.10 / $286.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.65 / $271.33 / $491.06