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Vermont rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.87 / $68.87 / $79.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.17 / $114.17 / $114.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $103.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $72.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $103.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $72.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.94 / $83.60 / $163.15