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Vermont rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $32.36 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $70.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $61.66 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $74.13 / $165.96