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Vermont rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $239.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $1,023.29