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Vermont rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $81.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $64.57 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $77.62 / $213.80