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Vermont rates for HCPCS L3010

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $123.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.68 / $172.68 / $180.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.81 / $165.81 / $165.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $102.59 / $142.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $102.59 / $142.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $121.39 / $236.90