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Vermont rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $19.47 / $23.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $50.22 / $58.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $54.94 / $58.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $32.74 / $43.67