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Vermont rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $35.48 / $77.62