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Vermont rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.67 / $77.67 / $93.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $182.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.63 / $120.62 / $202.89