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Vermont rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $123.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $89.13 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $138.04 / $398.11