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Vermont rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.71 / $1,109.71 / $1,280.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.81 / $1,839.81 / $1,839.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,671.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,296.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,671.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,296.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.33 / $1,347.07 / $2,628.91