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Vermont rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $30.20 / $66.07