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Vermont rates for HCPCS L1700

Legg Perthes Orthotic, (Toronto Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.83 / $1,066.83 / $1,230.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,606.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,249.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,606.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,249.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.33 / $1,642.91 / $2,527.30