go back

Vermont rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.36 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $41.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $33.11 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $39.81 / $112.20