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Vermont rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.69 / $48.09 / $59.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $40.24 / $91.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.01 / $65.01 / $65.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $61.50 / $71.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $81.95 / $81.95