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Vermont rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $32.75 / $39.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $49.68 / $76.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $49.68 / $76.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $50.93 / $85.62