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Vermont rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $269.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $302.00 / $831.76