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Vermont rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.91 / $322.91 / $372.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.36 / $535.36 / $535.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $486.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $377.16 / $491.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $486.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $491.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.08 / $391.98 / $764.97