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Vermont rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.50 / $310.50 / $358.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.78 / $514.78 / $514.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $467.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $334.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $467.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $334.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.08 / $376.92 / $735.57