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Vermont rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $33.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $38.90 / $114.82