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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
$338.23 / $338.23 / $390.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $509.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $323.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $509.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $323.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.53 / $410.58 / $801.29