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Vermont rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.93 / $1,256.93 / $1,450.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,893.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,243.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,893.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,243.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.08 / $1,525.78 / $2,977.68