go back

Vermont rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.58 / $49.58 / $57.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $74.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $47.57 / $58.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $74.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $58.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $60.19 / $117.47