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Vermont rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.10 / $344.10 / $397.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $437.50 / $450.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $437.50 / $450.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.96 / $449.98 / $814.37