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Vermont rates for HCPCS L3020

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.86 / $113.86 / $141.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.93 / $179.93 / $179.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.75 / $188.75 / $188.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $180.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $180.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $138.22 / $269.74