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Vermont rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.79 / $168.79 / $194.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.85 / $279.85 / $279.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $254.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $185.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $254.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $185.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.04 / $204.88 / $399.85