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Vermont rates for HCPCS L3995

Addition To Upper Extremity Orthosis Sock Fracture Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $23.46 / $27.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $38.89 / $38.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $35.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $22.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $35.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $22.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $28.48 / $55.56