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Vermont rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.63 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $22.32 / $30.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $28.65 / $30.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $13.44 / $22.37