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Vermont rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal 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
Professional
Modifier
Low / Median / High Price
$44.77 / $44.77 / $44.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $33.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $33.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $25.04 / $31.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $32.06 / $63.96