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Vermont rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.44 / $255.44 / $294.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $384.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $262.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $384.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $262.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.41 / $310.07 / $605.13