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Vermont rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $75.90 / $87.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $108.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $108.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $92.13 / $179.81