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Vermont rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $21.83 / $25.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $32.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $27.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $32.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $27.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $26.50 / $51.72