go back

Vermont rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.89 / $64.89 / $74.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $97.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $78.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $97.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $78.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.23 / $78.77 / $153.72