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Vermont rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $56.83 / $66.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.22 / $94.22 / $94.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $69.19 / $94.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $84.33 / $94.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $70.23 / $134.63