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Vermont rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.24 / $840.24 / $969.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $1,265.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $894.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $1,265.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $894.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.66 / $1,019.96 / $1,990.53