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Vermont rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $55.99 / $67.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $132.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $132.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $89.62 / $146.71