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Vermont rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.62 / $174.62 / $201.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $263.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $202.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $263.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $202.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.68 / $268.91 / $413.67