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Vermont rates for HCPCS L3002

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.68 / $92.68 / $106.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $153.66 / $153.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $94.64 / $134.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $94.64 / $134.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $142.72 / $219.56