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Vermont rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $16.78 / $19.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $22.63 / $25.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $25.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $15.57 / $19.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $20.37 / $39.77