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Vermont rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.74 / $1,836.74 / $2,119.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,766.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,145.73 / $2,480.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,766.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,480.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.84 / $2,229.61 / $4,351.22