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Vermont rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $67.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $60.26 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $75.86 / $269.15