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Vermont rates for HCPCS L4090

Replace Metal Bands Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $66.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $86.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $71.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $86.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $71.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $70.09 / $136.82