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Vermont rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.25 / $130.60 / $150.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.18 / $139.18 / $161.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.52 / $216.52 / $216.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $196.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $203.45 / $219.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $196.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $206.12 / $219.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $158.53 / $309.38