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Vermont rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $122.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.95 / $111.95 / $160.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.72 / $111.94 / $115.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.95 / $111.95 / $160.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.72 / $111.94 / $115.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.38 / $116.47 / $251.90