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Vermont rates for HCPCS L1844

Knee Orthosis Single Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.94 / $938.94 / $1,083.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.69 / $1,556.69 / $1,556.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,414.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,136.71 / $1,265.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,414.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $1,265.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.54 / $1,133.90 / $2,224.37