go back

Vermont rates for HCPCS L2387

Addition To Lower Extremity Polycentric Knee Joint For Custom Fabricated Knee Ankle Foot Orthosis Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.32 / $121.32 / $139.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $124.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $124.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $92.18 / $116.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $147.26 / $287.39