go back

Vermont rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

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