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Vermont rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $29.21 / $33.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $35.45 / $69.19