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Vermont rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.44 / $789.44 / $910.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,189.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $868.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,189.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $868.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.57 / $958.31 / $1,870.20