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Vermont rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $38.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $41.69 / $125.89