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Vermont rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $23.36 / $26.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $19.98 / $28.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $27.38 / $28.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $27.73 / $55.35