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Vermont rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $22.79 / $27.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $50.96 / $50.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $53.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $53.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $35.31 / $59.44