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Vermont rates for HCPCS L2755

Addition To Lower Extremity Orthosis High Strength Lightweight Material All

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $74.95 / $92.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.28 / $124.28 / $124.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $112.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $87.44 / $94.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $112.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $94.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.09 / $90.99 / $177.58