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Vermont rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.65 / $57.65 / $66.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $72.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $72.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $88.78 / $136.57