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Vermont rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.37 / $168.37 / $194.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $279.12 / $279.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $253.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $203.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $253.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $203.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $259.29 / $286.87