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Vermont rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $37.59 / $40.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $122.23 / $122.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $111.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $70.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $111.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $70.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $89.50 / $174.64