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Vermont rates for HCPCS L1280

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

Facilitymedian $65 · 10th–90th $48$950%20%10th90th$65Professionalmedian $63 · 10th–90th $41$740%20%40%10th90th$63$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$151.36