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Vermont rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.91 / $48.91 / $56.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $50.84 / $71.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $69.65 / $71.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $59.36 / $115.87