go back

Vermont rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $74.14 / $85.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $111.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $86.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $111.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $86.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $90.00 / $175.64