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Vermont rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.70 / $165.70 / $191.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $249.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $232.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $249.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $232.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.94 / $201.14 / $392.55