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Vermont rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $56.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $53.70 / $147.91