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Vermont rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.26 / $536.26 / $618.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $807.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $645.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $807.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $645.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.11 / $650.96 / $1,270.40