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Vermont rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $52.48 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $69.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $47.86 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $66.07 / $181.97