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Vermont rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $69.18 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $77.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $72.44 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $89.13 / $275.42