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Vermont rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.87 / $481.96 / $556.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.03 / $799.03 / $799.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $725.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $563.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $725.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $563.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.62 / $585.04 / $1,141.75