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Vermont rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $199.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $239.88 / $724.44