go back

Vermont rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $389.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $257.04 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $1,445.44