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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
$34.97 / $34.97 / $40.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.68 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $56.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.68 / $52.95 / $52.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $56.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $53.86 / $82.85