go back

Vermont rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $36.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $41.69 / $125.89