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Vermont rates for HCPCS L1930

Ankle Foot Orthosis Plastic Or Other Material Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $150.10 / $173.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $248.84 / $248.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $226.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $165.76 / $191.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $226.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $191.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.39 / $182.20 / $355.58