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Vermont rates for HCPCS L2624

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Extension Abduction Control Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.05 / $182.05 / $210.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.20 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $310.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.20 / $291.02 / $291.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $310.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $184.46 / $232.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.05 / $280.36 / $310.19