go back

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
$75.86 / $107.15 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $114.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $112.20 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $138.04 / $457.09