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Vermont rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.29 / $524.29 / $604.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.25 / $869.25 / $869.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $789.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $558.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $789.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $558.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.64 / $636.44 / $1,242.06