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Vermont rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.79 / $43.19 / $46.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $44.77 / $91.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $35.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $35.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $32.78 / $63.96