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Vermont rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $77.62 / $269.15