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Vermont rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $112.20 / $251.19