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Vermont rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.26 / $180.26 / $223.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.87 / $298.87 / $298.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $183.54 / $225.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $183.54 / $225.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.78 / $277.61 / $427.05