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Vermont rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.38 / $253.38 / $292.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.63 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $399.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.63 / $387.54 / $387.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $399.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $312.70 / $600.26