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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
$162.18 / $218.78 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $257.04 / $776.25