go back

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
$31.75 / $62.28 / $71.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.27 / $103.27 / $103.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $93.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $59.58 / $66.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $93.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $59.58 / $66.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $75.59 / $147.54