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Vermont rates for HCPCS L3003

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $115.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.81 / $165.81 / $165.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $121.20 / $153.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $153.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $154.00 / $236.90