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Vermont rates for HCPCS L0469

Tlso Sagittal-Coronal Control Rigid Posterior Frame And Flexible Soft Anterior Apron With Strapsclosures And Padding Extends From Sacrococcygeal Junction Over Scapulae Lateral Strength Provided By Pelvic Thoracic And Lateral Frame Pieces Restricts Gross Trunk Motion In Sagittal And Coronal Planes Produces Intervertebral Disks Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $368.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $393.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $393.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.69 / $417.43 / $755.45