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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
$240.45 / $240.45 / $277.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $362.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $237.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $362.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $237.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $291.88 / $569.64