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Vermont rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.62 / $194.62 / $224.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $293.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $205.21 / $229.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $293.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $229.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $299.72 / $461.06