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Vermont rates for HCPCS L1025

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $73.62 / $84.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $110.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $94.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $110.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $94.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $113.37 / $174.40