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Vermont rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $223.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $165.96 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $257.04 / $891.25