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Vermont rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.96 / $368.96 / $425.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.71 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $598.27 / $644.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.71 / $626.01 / $626.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $644.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.52 / $602.41 / $628.66