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Vermont rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $23.36 / $26.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $19.98 / $19.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $28.36 / $55.35