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Vermont rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.04 / $741.04 / $855.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.13 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $1,184.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.13 / $1,149.77 / $1,149.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $1,184.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.26 / $939.69 / $1,755.52