go back

Vermont rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $83.18 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $95.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $70.79 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $107.15 / $316.23