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Vermont rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $288.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $1,122.02