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Vermont rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.37 / $375.37 / $433.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.32 / $622.32 / $622.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $565.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $407.43 / $435.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $565.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $435.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.83 / $455.66 / $889.25