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Vermont rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $74.04 / $85.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.75 / $122.75 / $158.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $111.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $158.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $111.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $158.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.37 / $126.15 / $126.15